Evidence map›Paper›PMID 39972322›Full record

ArticleThe journal of headache and pain2025

Stroke etiology and white matter burden in women with and without migraine.

Anne E Wilms, Nelleke van der Weerd, Thijs W van Harten, Katie M Linstra, Hendrikus J A van Os, Irene de Boer, Mark C Kruit, Antoinette Maassen van den Brink, Marieke J H Wermer, Gisela M Terwindt and 1 more

Abstract read
In one paragraph

Article in The journal of headache and pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Anne E WilmsDepartment of Neurology, Leiden University Medical Center, PO Box 9600, Leiden, 2300RC, The Netherlands.
Nelleke van der WeerdDepartment of Neurology, Leiden University Medical Center, PO Box 9600, Leiden, 2300RC, The Netherlands.
Thijs W van HartenDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Katie M LinstraDepartment of Neurology, Leiden University Medical Center, PO Box 9600, Leiden, 2300RC, The Netherlands.
Hendrikus J A van OsDepartment of Public Health & Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Irene de BoerDepartment of Neurology, Leiden University Medical Center, PO Box 9600, Leiden, 2300RC, The Netherlands.
Mark C KruitDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Antoinette Maassen van den Brink *Department of Internal Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands.
Marieke J H Wermer *Department of Neurology, Leiden University Medical Center, PO Box 9600, Leiden, 2300RC, The Netherlands.
Gisela M Terwindt *Department of Neurology, Leiden University Medical Center, PO Box 9600, Leiden, 2300RC, The Netherlands. g.m.terwindt@lumc.nl.
CREW consortium

Funding

Dutch Heart Foundation 2013T083
6 · The paper itself

Abstract

backgroundWomen with migraine, especially with aura (MA), have a higher risk of white matter hyperintensities (WMH) and ischemic stroke. We aimed to assess differences in stroke etiology between women with and without migraine and the impact of migraine on WMH volume in women with stroke.

methodsWe included women aged 40-60 years with a history of ischemic stroke, migraine or both. Stroke etiology was categorized using the TOAST criteria. WMH volume was measured using 3D-FLAIR images. Presence or absence of cerebellar WMH was scored. We used regression analysis to assess differences between groups, with adjustments for age, BMI, hypertension and smoking status.

resultsWe included 55 women with stroke, 55 with stroke and migraine, and 38 with MA. Women with stroke more often had a history of smoking than those with stroke and migraine (74% vs. 46%, p = 0.004). Stroke of undetermined origin was more common in women with both conditions than with stroke alone (49% vs. 27%, p = 0.019). Periventricular WMH volumes were higher in women with stroke with migraine than in those with MA alone (0.55mL vs. 0.42mL, B = 0.21, 95%CI = 0.01-0.41, p = 0.040). There were no differences in deep WMH volume and cerebellar WMH between groups. Importantly, the addition of migraine did not affect WMH volume in women who had experienced stroke.

conclusionWomen with both stroke and migraine more often had undetermined etiology of stroke compared to women with stroke alone, and in women with stroke alone smoking was a more prevalent risk factor. Migraine did not contribute to increased WMH volume in women with stroke.

Indexed as

Ischemic StrokeMigraine DisordersStrokeWhite MatterAdultFemaleHumansMagnetic Resonance ImagingMiddle AgedSmokingCerebrovascularHeadacheMigraineMRISmokingStrokeWhite matter hyperintensities (WMH)

Identifiers

PMID39972322
PMCPMC11841335

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.