All 3 patients had two additional atherosclerotic or nonatherosclerotic risk factors for stroke, suggesting that vertebral artery hypoplasia combined with other conventional risk factors may provide an optimal background for brainstem ischemia.
Category B anti-headache medications include Tylenol (acetaminophen); Reglan (metoclopramide), which is used for nausea but also may relieve a mild headache; and over-the-counter non-steroidal anti-inflammatory drugs such as Advil and Motrin (ibuprofen) or Aleve (naproxen) only during the first and second trimesters.
Migraines may be affected in a variety of ways by pregnancy; they may increase, diminish, or remain unchanged. Headaches may also appear for the first time during pregnancy, usually during the first trimester, and typically subside in the second and third trimesters.