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<article article-type="review-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">akusherstvo</journal-id><journal-title-group><journal-title xml:lang="en">Obstetrics, Gynecology and Reproduction</journal-title><trans-title-group xml:lang="ru"><trans-title>Акушерство, Гинекология и Репродукция</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2313-7347</issn><issn pub-type="epub">2500-3194</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2313-7347/ob.gyn.rep.2024.536</article-id><article-id custom-type="elpub" pub-id-type="custom">akusherstvo-2192</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW ARTICLES</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАУЧНЫЕ ОБЗОРЫ</subject></subj-group></article-categories><title-group><article-title>Migraine in antiphospholipid syndrome and hereditary thrombophilia: pregnancy-related clinical and diagnostic features and therapeutic issues</article-title><trans-title-group xml:lang="ru"><trans-title>Мигрень на фоне антифосфолипидного синдрома и наследственной тромбофилии: клинико-диагностические особенности и вопросы терапии в период беременности</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7330-633X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воскресенская</surname><given-names>О. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Voskresenskaya</surname><given-names>O. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Воскресенская Ольга Николаевна, д.м.н., проф.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Olga N. Voskresenskaya, MD, Dr Sci Med, Prof. </p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><email xlink:type="simple">voskresenskaya_o_n@staff.sechenov.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-2873-0976</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Дашдамирова</surname><given-names>Л. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Dashdamirova</surname><given-names>L. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Дашдамирова Лейла Расим кызы</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Leyla R. Dashdamirova, MD. </p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0725-9686</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хизроева</surname><given-names>Д. Х.</given-names></name><name name-style="western" xml:lang="en"><surname>Khizroeva</surname><given-names>J. Kh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Хизроева Джамиля Хизриевна, д.м.н., проф.</p><p>Scopus Author ID: 57194547147. </p><p>WoS ResearcherID: F-8384-2017.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Jamilya Kh. Khizroeva, MD, Dr Sci Med, Prof.</p><p>Scopus Author ID: 57194547147. </p><p>WoS ResearcherID: F-8384-2017.</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7415-4633</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Макацария</surname><given-names>А. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Makatsariya</surname><given-names>A. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Макацария Александр Давидович, д.м.н., проф., академик РАН</p><p>Scopus Author ID: 57222220144. </p><p>WoS ResearcherID: M-5660-2016.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Alexander D. Makatsariya, MD, Dr Sci Med, Prof., Academician of RAS.</p><p>Scopus Author ID: 57222220144.</p><p>WoS ResearcherID: M-5660-2016.</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8404-1042</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бицадзе</surname><given-names>В. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Bitsadze</surname><given-names>V. O.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бицадзе Виктория Омаровна, д.м.н., проф., профессор РАН</p><p>Scopus Author ID: 6506003478. </p><p>WoS ResearcherID: F-8409-2017.</p><p>119991 Москва, ул. Трубецкая, д. 8, стр. 2</p></bio><bio xml:lang="en"><p>Victoria O. Bitsadze, MD, Dr Sci Med, Prof., Professor of RAS. </p><p>Scopus Author ID: 6506003478.</p><p>WoS ResearcherID: F-8409-2017.</p><p>8 bldg. 2, Trubetskaya Str., Moscow 119991</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Sechenov University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>02</day><month>10</month><year>2024</year></pub-date><volume>18</volume><issue>5</issue><fpage>667</fpage><lpage>678</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Voskresenskaya O.N., Dashdamirova L.R., Khizroeva J.K., Makatsariya A.D., Bitsadze V.O., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Воскресенская О.Н., Дашдамирова Л.Р., Хизроева Д.Х., Макацария А.Д., Бицадзе В.О.</copyright-holder><copyright-holder xml:lang="en">Voskresenskaya O.N., Dashdamirova L.R., Khizroeva J.K., Makatsariya A.D., Bitsadze V.O.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.gynecology.su/jour/article/view/2192">https://www.gynecology.su/jour/article/view/2192</self-uri><abstract><sec><title>Introduction</title><p>Introduction. Migraine is one of the most common primary headaches and a risk factor for cardiovascular and cerebrovascular diseases. Antiphospholipid syndrome (APS) and hereditary thrombophilia (HT) causing pathological pregnancy are highly associated with migraine. Timely migraine recognition related to APS and HT facilitates earlier initiation of thrombophilia pathogenetic therapy and prevention of potential complications.</p></sec><sec><title>Aim</title><p>Aim: to analyze the literature data on migraine clinical and diagnostic features in APS and HT as well as pregnancy-related therapeutic issues.</p></sec><sec><title>Materials and Methods</title><p>Materials and Methods. A search for scientific literature was conducted in electronic databases including PubMed, Google Scholar, eLibrary from 2004 until May 2024. The search methodological basis included the presence of the following keywords and their combinations in Russian and English: "migraine", "antiphospholipid syndrome", "thrombophilia", "migraine and pregnancy", "migraine and thrombophilia", "migraine and cardiovascular diseases". As a result, a total of 184 publications were identified. Next, 62 articles were included in the review.</p></sec><sec><title>Results</title><p>Results. At the current stage, neurologists have no means to diagnose migraine in APS and HT based on headache-intrinsic characteristics. Pregnancy increases a risk of thrombotic complications. A migraine observed in patient's history should be crucial while assessing pregnancy-related obstetric risk. While diagnosing migraine, neurologists need to examine patient obstetric history. The data on most effective and safe therapy for pregnancy-related migraine attacks remain scarce.</p></sec><sec><title>Conclusion</title><p>Conclusion. The frequent association between APS and HT with migraine, the lack of clear migraine clinical features in thrombophilia, patients’ reproductive age, and the high risk of thrombotic complications necessitate collaboration between neurologists and obstetricians-gynecologists for timely diagnostics and management of such patients. The impact of various types of antithrombotic therapy on migraine course requires further clarification. It is promising to conduct studies able to determine of whether migraine attack prevention can avoid adverse pregnancy outcomes in women with former migraine.</p></sec></abstract><trans-abstract xml:lang="ru"><sec><title>Введение</title><p>Введение. Мигрень – одна из наиболее часто встречающихся первичных головных болей, являющаяся фактором риска сердечно-сосудистых и цереброваскулярных заболеваний. Антифосфолипидный синдром (АФС) и наследственная тромбофилия (НТ), вызывающие патологическое течение беременности, в высокой степени ассоциированы с мигренью. Своевременное распознавание мигрени в рамках АФС и НТ способствует более раннему назначению патогенетической терапии тромбофилии и предупреждению возможных осложнений.</p></sec><sec><title>Цель</title><p>Цель: проанализировать данные литературы о клинико-диагностических особенностях мигрени при АФС и НТ, вопросах терапии в период беременности.</p></sec><sec><title>Материалы и методы</title><p>Материалы и методы. Поиск научной литературы выполнен в электронных базах данных PubMed, Google Scholar, eLibrary с 2004 г. по май 2024 г. Методологическая основа поиска включала наличие следующих ключевых слов и их сочетаний на русском и английском языках: «мигрень», «антифосфолипидный синдром», «тромбофилия», «мигрень и беременность», «мигрень и тромбофилия», «мигрень и сердечно-сосудистые заболевания», «migraine», «antiphospholipid syndrome», «thrombophilia», «migraine and pregnancy», «migraine and thrombophilia», «migraine and cardiovascular diseases». По результатам поиска было получено 184 публикации. В результате отбора в обзор включены 62 статьи.</p></sec><sec><title>Результаты</title><p>Результаты. На современном этапе неврологи не обладают возможностями диагностирования мигрени на фоне АФС и НТ по характеристикам самой цефалгии. Беременность повышает риск тромботических осложнений. Факт наличия мигрени в анамнезе должен являться важным моментом при оценке акушерского риска в период беременности. Неврологам при диагностировании мигрени необходимо выяснять акушерский анамнез пациентки. Недостаточно данных о наиболее эффективной и безопасной терапии приступов мигрени во время беременности.</p></sec><sec><title>Заключение</title><p>Заключение. Частая ассоциация АФС и НТ с мигренью, отсутствие четких клинических особенностей мигрени при тромбофилии, репродуктивный возраст пациенток, высокий риск тромботических осложнений диктуют необходимость взаимодействия врачей-неврологов и акушеров-гинекологов для своевременной диагностики заболевания и ведения данной категории пациентов. Влияние различных видов антитромботической терапии на течение мигрени нуждается в уточнении. Перспективными представляются исследования, которые смогут определить, способна ли профилактика приступов мигрени предотвратить неблагоприятные исходы беременности у женщин с мигренью в анамнезе.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>мигрень</kwd><kwd>антифосфолипидный  синдром</kwd><kwd>АФС</kwd><kwd>наследственная тромбофилия</kwd><kwd>НТ</kwd></kwd-group><kwd-group xml:lang="en"><kwd>migraine</kwd><kwd>antiphospholipid syndrome</kwd><kwd>APS</kwd><kwd>hereditary thrombophilia</kwd><kwd>НТ</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Steiner T.J., Stovner L.J. Global epidemiology of migraine and its implications for public health and health policy. Nat Rev Neurol. 2023;19(2):109–17. https://doi.org/10.1038/s41582-022-00763-1.</mixed-citation><mixed-citation xml:lang="en">Steiner T.J., Stovner L.J. 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