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Editorial| Volume 398, P202-203, March 15, 2019

Cerebrovascular reactivity in subjects with migraine: Age paradox?

Published:January 25, 2019DOI:https://doi.org/10.1016/j.jns.2019.01.040
      Migraine, and especially migraine with aura, is a recognized risk factor for stroke [
      • Sacco S.
      • Kurth T.
      Migraine and the risk for stroke and cardiovascular disease.
      ]; however, the mechanisms underlying the association between migraine and stroke are unclear. Notably, previous studies found that the contribution of migraine to the risk of stroke is more significant in younger women compared with the older ones [
      • Sacco S.
      • Ornello R.
      • Ripa P.
      • Pistoia F.
      • Carolei A.
      Migraine and hemorrhagic stroke: a meta-analysis.
      ,
      • Peng K.P.
      • Chen Y.T.
      • Fuh J.L.
      • Tang C.H.
      • Wang S.J.
      Migraine and incidence of ischemic stroke: a nationwide population-based study.
      ] and in women with active migraine compared with those with past history of migraine [
      • Kurth T.
      • Gaziano J.M.
      • Cook N.R.
      • Logroscino G.
      • Diener H.C.
      • Buring J.E.
      Migraine and risk of cardiovascular disease in women.
      ], suggesting the presence of a migraine-specific factor increasing the risk of stroke. Altered cerebrovascular reactivity (CVR) has been proposed as a possible link between migraine and the risk of stroke; however, no study, to date, assessed the effect of age on the CVR of subjects with migraine.
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