CLINICAL EVALUATION OF PATIENTS WITH MIGRAINE INDUCED STROKE IN MASHHAD, IRAN

Background: migraine induced stroke (mis) is an important cause of brain infarction in the young people.methods: consecutive patients with mis admitted in ghaem hospital, mashhad during 2006-2010 enrolled a prospective clinical study. all of the patients suspected to mis had brain mri with a 0.5 tesla generation, philips nt intra, netherland. all of the mis patients under-went a standard battery of diagnostic investigations for detecting etiology of stroke. disability of mis patients was detected based on the modified rankin scale at 90 days post stroke.results: 32 mis patients (18 females, 14 males) with mean age 37.2 ± 3.8 years ranged 15-58 years were evaluated. hypodense area of infarction corresponding to clinical manifestations was detected in mri in 32% of our mis patients. the mean disability score in our mis patients was 1.09 ± 0.32, which is significantly lower than other stroke patients (z = 2.55, p = 0.007)conclusion: mis is an important cause of stroke in persian young adults which have good prognosis.