A Prospective Study of Headache after Carotid Endarterectomy: Incidence and Clinical Characteristics

Abstract

Headache associated with Carotid Endarterectomy (CEA) is a known condition; however, its incidence and etiology are not well defined. In this study, we determined the incidence and evaluated the characteristics of headache following CEA. This prospective study was conducted between January and July 2009, in 32 patients submitted to CEA. 68.7% of patients were male; mean age was 67.3 years-old. Headache incidence was 37.5%, ipsilateral to the CEA in 91% of patients; pressure was the most common pain quality (81.2%) and affected the frontal region alone in 37.5% of headache episodes. All headache episodes were of mild intensity. No correlation (p > 0.05) was found between sexes and no significant value (p > 0.05) was determined between the presence of headache and the mean degree of stenosis in the ipsilateral and contralateral carotid operated. Headache following CEA is a common condition; in most cases it is ipsilateral to the procedure, pressure type, mild and self-limiting

Post-Operative Cluster Headache Following Carotid Endarterectomy

“…Cluster-like headache was described to occur frequently in 2 studies [6,7], but in more recent studies, it was not observed at all [4,5]. Therefore, the incidence of this headache seems lower than described in the ICHD-IIIB criteria [9], unless we assume considerable underreporting.…”

“…Albuquerque et al [4] and Tehindrazanarivelo et al [5] studied the occurrence of headache following CEA. They do not describe any patients who developed cluster headache or a cluster-like headache following CEA.…”

“…In the 2012 study by Albuquerque et al [4], 38% of the 32 patients developed headache following CEA, usually ipsilaterally and in all cases described as mild. No severe ipsilateral pain or cluster headache was described.…”