The authors determined von Willebrand factor (vWF) in 63 persons with migra
ine, 11 persons with migraine and prior stroke, and 35 frequency-matched co
ntrols. Additional studies were done in a subset with migraine without aura
who were headache free for >7 days. Migraineurs with prior stroke had sign
ificantly higher vWF antigen (170% versus 106%) and activity (162% versus 1
08%) than the control group. vWF antigen (126%) and activity (130%) were al
so significantly higher in migraineurs without stroke. Multimers and protea
se activity were normal in the interictal subset.