Migraine is a risk factor for cerebral infarction in young women. The natur
e of the connection between these diseases remains however essentially unkn
own. Abnormalities of haemostasis leading to an increased thrombotic risk w
ould provide a logical link. Platelets, antiphospholipid antibodies and mor
e recently congenital thrombophilia have thus successively been implicated.
The different studies concerning these topics have been reviewed. Because
of the conflicting results obtained and because of the numerous methodologi
cal shortcomings of many of these studies, no definite conclusion can be re
ached. It is possible that these 3 factors play a role in the ischemic risk
of migraine, but it is as likely or even more likely that other factors (i
nside or outside the hemostatic system) play a more important role. Further
studies are thus deeply needed.