Acute worsening in migraine symptoms following PFO closure: a matter of fact?
There is currently conjecture in the literature as to whether percutaneous closure of patent foramen ovales (PFO) leads to an improvement in migraine symptoms. The present study reports the migraine status at 30 days, of 57 consecutive patients who underwent closure PFO closures for cryptogenic stroke at our institution. Our findings suggest a significant change in migraine character following PFO closure with the majority of these patients reporting a worsening in migraine severity. Those patients with more severe migraine prior to the procedure were more likely to experience deterioration. Patients should be counselled about the possibility of changing or worsening migraine prior to percutaneous closure for cryptogenic stroke.
Bhindi
Ravinay
R
Ruparelia
Neil
N
Newton
James
J
Testa
Luca
L
Ormerod
Oliver J
OJ
D000208:Acute Disease; D054092:Foramen Ovale, Patent / Q000601:surgery*; D006801:Humans; D008881:Migraine Disorders / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*; D012720:Severity of Illness Index