We report a study of 121 probands (patients) with migraine without aur
a (MO) and 72 probands with migraine with aura (MA), diagnosed accordi
ng to the operational diagnostic criteria of the International Headach
e Society and selected from 35 general practices in Denmark. The proba
nds were interviewed about the presence of MO and MA among their first
-degree relatives. Compared with the general population, the first-deg
ree relatives of probands with MO had a threefold increase of MO, and
only one first-degree relative of one proband with MO had MA. First-de
gree relatives of probands with MA had a twofold increase of both MA a
nd MO. Compared with the general population, few spouses had MO and MA
. This threefold and twofold increase in family risk of MO and MA, com
bined with the lack of increased risk in spouses, strongly suggests th
at MO and MA are genetically determined.