Comparative analysis of cognitive function at vascular complications of migraine. Diagnosis and clinical approach

Abstract

Migraine affects 11-15% of the adult population, frequent and prolonged migraine attacks, untimely correction, the absence of preventive measures can form vascular complications with the development of cognitive dysfunctions. The aim of this study was to study and analyze cognitive function in various variants of the course of complicated migraines in a comparative aspect. We studied 378 (100%) patients with various options for the course of migraine. Of these, 78 (20.6%) examined with migraine status, 82 (21.7%) with chronic migraine, 52 (13.8%) with migraine strokes, 87 (23.0%) chemoprophylaxis with migraine, considered as the main group, and the comparative group included 79 (20.9%) patients with uncomplicated migraine. The study demonstrate that cognitive dysfunction complicated by migraine develops due to cerebral vascular reactions modelled on vasodilation / vasoconstriction against the background of migraine attacks that cause hypoxia and then local ischemia with the formation of encephalomalacia in “strategic areas” and can be considered as a predisposition of patients with migraine to vascular dementia.