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Dear Jacqueline,   One clarification -- Migraine is a genetic neurological disease. Some of the symptoms are vascular, but it is essentially neurological.   In rare cases, yes, a Migraine attack can cause a stoke. If the pain of a Migraine attack lasts longer than 72 hours without a solid four-hour pain-free period, while awake, it's termed Status Migrainous, and immediate care should be sought. See Status Migrainous - the Basics for more information on this type of Migraine.   Overall, Migraine disease is associated with increased risk of stroke and cardiovascular disease. You can find comprehensive information about these risks on MyMigraineConnection. Here are some links for you...   • Migraine and Stroke Risk • Migraine With Aura Linked to Cardiovascular Disease in Women • Migraine Disease Linked to Cardiovascular Disease in Men   Take a look at the articles I've linked to so you'll have the information about Migraine and stroke risk. Then have a talk with your doctor about how to address lifestyle issues to minimize stroke risk in general. Also be sure to talk with your doctor about the best way to handle your Migraines. The increased risk of stroke is pretty minimal, especially when you address any modifiable risk of stroke you may have and take good care of your self with your Migraine treatment.   Good luck, Teri Robert