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Saman Nazarian, the senior researcher on the new study and an assistant professor at Johns Hopkins University School of Medicine in Baltimore, said it was likely that a common underlying process contributes to both migraines and stroke risk and advised migraine sufferers to control risk factors such as high blood pressure, smoking and diabetes ( According to Teshamae Monteith, a doctor and one of the authors from the University of Miami, Miller School of Medicine, "One possible mechanism of increased stroke risk may be oxidative stress, which has been theorized to have a role in migraine and may lead to increased susceptibility to vascular events among active smokers." While migraines themselves did not signal a greater risk of stroke, smokers who also had migraines were three times as likely to have a stroke, said the researchers in the Northern Manhattan Study