Migraines may cause permanent brain damage

Migraines - believed to have no long-lasting effects on the brain - can permanently alter its structure and put sufferers at an increased risk of brain lesions, according to a new study.
Researchers found that migraine raised the risk of brain lesions, white matter abnormalities and altered brain volume. The association was even stronger in those with migraine with aura.
"Traditionally, migraine has been considered a benign disorder without long-term consequences for the brain," said study author Messoud Ashina, with the University of Copenhagen in Denmark.
"Our review and meta-analysis study suggests that the disorder may permanently alter brain structure in multiple ways," Ashina said.

For the meta-analysis, researchers reviewed six population-based studies and 13 clinic-based studies to see whether people who experienced migraine or migraine with aura had an increased risk of brain lesions, silent abnormalities or brain volume changes on Magnetic resonance imaging (MRI) brain scans compared to those without the conditions.
The results showed that migraine with aura increased the risk of white matter brain lesions by 68 per cent and migraine with no aura increased the risk by 34 per cent, compared to those without migraine.

The risk for infarct-like abnormalities increased by 44 per cent for those with migraine with aura compared to those without aura.

Brain volume changes were more common in people with migraine and migraine with aura than those with no migraines.
"We hope that through more study, we can clarify the association of brain structure changes to attack frequency and length of the disease. We also want to find out how these lesions may influence brain function," Ashina said.
The study was published in the journal Neurology, the medical journal of the American Academy of Neurology.