Rabe_EU Neurology 09/03/2010 12:41 Page 94
Headache
Conclusion
Recently, it was shown that people with migraine – a usually benign
Kasja Rabe is a Resident in the Department of
disorder – tend to suffer more often from cerebral and cardiac
Neurology at the University of Essen in Germany.
ischaemic events than people without headaches. Especially in
Together with Dr Katsarava, she has published several
reviews about headache. She received her medical
migraine with aura, the risk of stroke and cardiovascular events is
degree from the University of Frankfurt in 2005.
at least two-fold higher than in people without migraine. While the
data concerning migraine with aura are consistent, the association
between migraine without aura and cerebro- or cardiovascular
diseases is less clear. However, the underlying pathology seems to Zaza Katsarava is a Consultant in the Department of
be comparable in migraine with or without aura. In both groups, an
Neurology at the University of Essen in Germany. He is
increased vascular risk profile and biological mechanisms such as
a member of the Executive Committee of the European
Headache Federation. Dr Katsarava’s special research
vascular dysfunction and coagulation abnormalities have been interests focus on chronic headache and pain. He is
observed. However, the definite cause that leads to the increased
working for an international collaboration to raise
risk remains unclear. In order to clarify these mechanisms and
awareness of the burdens attributable to headache
worldwide and in improving access to headache-related
provide a reasonable background to identify migraineurs at risk of healthcare in order to mitigate these burdens.
stroke or cardiovascular events, further research is required. n
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