Migraine and white matter hyperintensities

Alyx Porter, Jonathan P. Gladstone, David W. Dodick

Research output: Contribution to journalReview article

43 Scopus citations

Abstract

Patients with migraine are at increased risk for white matter hyperintensities detected on magnetic resonance imaging. The presence of nonspecific white matter hyperintensities may cause uncertainty for physicians and anxiety for patients. The pathophysiology and long-term consequences of these lesions are unknown. Occasionally, white matter lesions in a migraineur may indicate an underlying disease such as cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL), mitochondrial encephalopathy with lactic acidosis and stroke-like episodes (MELAS), or central nervous system vasculitis. The ability to distinguish between non-specific and disease-specific patterns of white matter hyperintensities in migraine sufferers is important for the practicing clinician.

Original languageEnglish (US)
Pages (from-to)289-293
Number of pages5
JournalCurrent pain and headache reports
Volume9
Issue number4
DOIs
StatePublished - Aug 2005

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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