Over 3 years we evaluated two patients, an adolescent and a child, wit
h migraine-like headache and ischemic stroke. Based on our clinical ob
servations and on literature review of migraine and stroke in the pedi
atric age group, we believe that the criteria of migrainous infarction
outlined by the International Headache Society (IHS) could be occasio
nally too restrictive. Therefore, we suggest subclassifying migrainous
infarction into: (i) ''definite'', referring to the patients whose is
chemic stroke fulfills all the IHS criteria, (ii) ''possible'', referr
ing to ischemic strokes which fulfill some, but not all, criteria. Thi
s subclassification of migrainous infarction may be relevant in clinic
al practice and in human research studies.