Migraine is a common chronic disorder with recurrent attacks. In recent years, there has been increasing evidence indicating an association between migraine, particularly migraine with aura, and ischemic stroke, although the pathogenesis has not been fully elucidated. Some studies suggest that common vascular risk factors may increase the risk of stroke in patients with migraine. This article provides a brief review of the potential mechanisms linking migraine and ischemic stroke, aiming to enhance the understanding of stroke associated with migraine and to offer guidance for clinical diagnosis and treatment.