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2篇 您的检索式:作者名="Aasheeta Parikh"
    题名 作者 年代 出处 被引量
1Migraine and stroke显示文摘Migraines are generally considered a relatively benign neurological condition.However,research has shown an association between migraines and stroke,and especially between migraine with aura and ischaemic stroke.Patients can also suffer from migrainous infarction,a subset of ischaemic stroke that often occurs in the posterior circulation of younger women.The exact pathogenesis of migrainous infarct is not known,but it is theorised that the duration and local neuronal energy level from cortical spreading depression may be a key factor.Other factors contributing to migrainous infarct may include vascular,inflammatory,endothelial structure,patent foramen ovale,gender,oral contraceptive pill use and smoking.Vasoconstrictors such as the triptan and ergot class are commonly used to treat migraines and may also play a role.Migraine is also shown to be correlated to haemorrhagic stroke,although studies do not demonstrate causation versus association,and further studies are warranted.There are also some rare genetic diseases such as cerebral autosomal-dominant arteriopathy with subcortical infarcts and leukoencephalopathy,retinal vasculopathy with cerebral leukodystrophy and others,which can cause both migraines and infarcts.On imaging,many migraineurs are found to have white matter changes similar to those seen in patients with stroke.These may be caused in part by alterations in resting cerebral blood flow and vasoconstrictor use.In treating patients with migraines,it is important to identify and modify any vascular risk factors such as hypertension,smoking,oral contraceptive pill use and lifestyle factors.Further studies will determine if more aggressive treatment of migraines can ultimately lead to fewer strokes in this population.Yonghua Zhang Aasheeta Parikh Shuo Qian 2017Stroke & Vascular Neurology2017,2,3:8
2拨云见日终有时:偏头痛与卒中最新研究进展显示文摘近年来,已有研究表明偏头痛与卒中存在相关性,尤其是缺血性卒中与先兆性偏头痛。偏头痛患者可出现偏头痛性脑梗死,年轻女性较多。尽管有明确证据表明偏头痛与卒中相关,但其机制、卒中与先兆性偏头痛的相关性、治疗、如何预防等方面都尚不明确。而偏头痛与卒中共性的特征包括:(1)发病机制;(2)危险因素;(3)临床和影像学表现。因此,偏头痛与卒中关系的深入研究至关重要。yonghua zhang aasheeta parikh shuo qian 邢英琦 2018中国卒中杂志2018,13,3:1
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