Migraine stroke risk

Pulmonary Does the patient require medications for pulmonary disease that may affect neurological functioning such as beta agonist-induced tremor Could a medication such as beta-blockers prescribed for essential tremor cause deterioration of pulmonary function Could an acute pulmonary illness such as pneumonia be contributing to delirium Does the patient have a history of pulmonary embolism that may indicate a predisposition to thromboembolic disorders Is the patient a current or past smoker, contributing to stroke risk or migraines ... 

In a number of cases, it appears possible that the cerebrovascular events were primary, the agonist having been administered in the incorrect belief that the symptoms experienced were a consequence of migraine, when they were not. It should be noted that patients with migraine may be at increased risk of certain cerebrovascular events (eg, stroke, hemorrhage, TIA). 

M. Etminan, B. Takkouche, F. C. Isoma and A. Samii, Risk of ischemic stroke in people with migraine systematic review and meta-analysis of observational studies. BM, 2005, 330,63-66. 

These potential benefits are balanced by a slightly increased risk of gallbladder disease, hypertension, myocardial infarction, cerebral infarction, and pulmonary embolism. The increased risk of stroke and heart attack associated with the pill is accentuated when compounded by other risk factors, including smoking, migraine headaches, and advancing age. Indeed, convincing data support an upper age limit of 35 years for oral contraceptive use by women who smoke. 

Donaghy M, Chang CL, Poulter N et al. (2002). European Collaborators of the World Health Organization Collaborative Study of Cardiovascular Disease and Steroid Hormone Contraception. Duration, frequency, recency, and type of migraine and the risk of ischemic stroke in women of childbearing age. Journal of Neurology, Neurosurgery and Psychiatry 73 747-750... 

Tegeler GH, Shi F, Morgan T (1991). Carotid stenosis in lacunar stroke. Stroke 22 1124-1128 Tietjen GE (2005). The risk of stroke in patients with migraine and implications for migraine management. CNS Drugs 19 683-692 Turan TN, Stern BJ (2004). Stroke in pregnancy. 

Migraine headaches with focal neurologic symptoms have been associated with an increased risk of stroke any headaches clearly starting after initiation of pills may be related to pill use. 

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