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    Headache. 2009 Jan;49(1):146-7. Epub 2008 Jun 11.

    Valsalva maneuver as migraine inducer: a case report of a woman with patent foramen ovale and an ischemic stroke.

    Artto V, Anttila V, Rantanen K, Kallela M, Färkkilä M.

    Helsinki University Central Hospital, Department of Neurology, Helsinki, Finland.

    The association between patent foramen ovale, ischemic stroke, and migraine with aura is well known. It is, however, complicated and generates a considerable debate about the features and clinical consequences of the phenomenon. We report a case of a woman for whom patent foramen ovale has possibly acted as an inducer of both migraine attacks and ischemic stroke.

    PMID: 18549412 [PubMed - indexed for MEDLINE]

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