Brazilian experience of the influence of endovascular treatment on headache in patients with ruptured intracranial aneurysms

Esmanhotto, Bruno Bertoli; Piovesan, Élcio Juliato; Lange, Marcos Christiano

doi:10.1111/ane.12595

Cited by 3 publications

(3 citation statements)

References 13 publications

(14 reference statements)

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“…Numerous studies have been conducted to evaluate the headaches associated with endovascular procedures as well as the effects of non-ruptured aneurysms or non-haemorrhagic arteriovenous malformations (AVMs) on headache [2][3][4][5][6]. However, studies evaluating the relationship between DSA and headache have been limited.…”

Section: Introductionmentioning

confidence: 99%

Clinical features and risk factors of angiography headache and evaluation of its relationship to primary headaches

Demır

Onan

Balal

et al. 2019

Neurol Neurochir Pol.

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Introduction. Angiography headache is defined as a new headache caused directly by cerebral angiography. We aimed to investigate the prevalence and clinical characteristics of angiography headache, and its relationship with primary headaches.Material and methods. This single-centre prospective cohort study was carried out in our tertiary healthcare centre. Patients who had undergone a diagnostic cerebral angiography procedure between March 2016 and June 2017 were included in the study. During and after the procedure, we evaluated the patients in terms of occurrence of headache, and, if present, details about time to onset of headache after cerebral angiography, duration of headache, accompanying symptoms (nausea, vomiting, photophobia and phonophobia), and degree and severity of pain.Results. A total of 226 patients were included in the study. The prevalence of angiography headache was found to be 22.1% (n = 50). While angiography headache started in the first six hours in 92% (n = 46) of the patients, it started after 24 hours of the angiography procedure in only 4% (n = 2). Compressive headache was the most common type, described by 64% of the patients, whereas 4% of the patients described pricking or stabbing sensations. Angiography headache was associated with female gender, higher educational level, and a history of primary headache. Conclusion.Angiography headache is an important clinical entity that must be considered during and after angiography. Experiencing angiography headache is more common among patients with a history of primary headache.

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Section: Introductionmentioning

confidence: 99%

Clinical features and risk factors of angiography headache and evaluation of its relationship to primary headaches

Demır

Onan

Balal

et al. 2019

Neurol Neurochir Pol.

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“…A potential correlation between aneurysms, AVMs and headache is no new concept, and studies have suggested that for patients harboring these vascular anomalies, headache may be more prevalent than in the general population [ 3 , 4 , 12 ]. Based on epidemiological studies of the general Danish population, the lifetime cumulated prevalence for both sexes is 16–18 % for migraine and 78 % for tension-type headache [ 13 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Evidence suggests a reduction of post-treatment mortality and morbidity with the transition from open surgery to EVT [ 1 ]; however, functional outcomes such as headache after EVT have received only little attention. These vascular lesions may predispose to headache in their own right [ 2 , 3 ], and several studies describe headache as a presenting symptom of both conditions [ 4 , 5 ]. What is less known, is how this headache is affected by endovascular treatment procedures, and the expected time frame of headache resolution.…”

Section: Introductionmentioning

confidence: 99%

Post procedure headache in patients treated for neurovascular arteriovenous malformations and aneurysms using endovascular therapy

et al. 2016

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BackgroundThough endovascular therapy (EVT) is increasingly applied in the treatment of intracranial vascular lesions, little is known about the effect of EVT on post-procedure headache. We aimed to investigate the prevalence of headache in patients who have undergone EVT for cerebral arteriovenous malformations (AVMs) and aneurysms.MethodsA total of 324 patients underwent EVT treatment for aneurysms and AVMs at the Danish National Hospital from January 2012 to December 2014. We applied strict exclusion criteria in order to minimize the effect of other factors on headache occurrence, e.g., craniotomy. Eligible subjects were phone-interviewed using a purpose-developed semi-structured questionnaire. Headaches were classified according to ICHD-III beta criteria.ResultsThe 59 patients underwent treatment of aneurysms (n = 43), cranial dural fistulas (n = 11), and AVMs (n = 5). There was a significant increase in overall headache (p = 0.017) and tension-type headache (TTH) (p = 0.012) within the first 3 months after EVT compared to 1 month before EVT. However, at interview time (median 2.5 years post-EVT), the increase in overall headache, migraine, and tension-type headache was not statistically significant. A minority of patients experienced headaches for the first time within 3 months of their EVT (migraine 4, TTH 10). At interview time, 50 % of these new headaches still persisted.ConclusionOur results suggest a temporary increase in headache in the first 3 months after EVT, which normalizes over time. Clinicians may use this knowledge to better inform their patients of functional outcomes after their EVT procedure.

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Headache and endovascular procedures

et al. 2017

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The International Classification of Headache Disorders (ICHD-3 beta) includes headache attributed to intracranial endovascular procedures (EVPs). The aim of this review is to describe the clinical and pathophysiological aspects of headache related to vascular lesions and EVPs. Current studies regarding this issue are contradictory, although generally favouring headache improvement after EVPs. Further large studies are needed to adequately assess the effect of EVPs on headache.

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Brazilian experience of the influence of endovascular treatment on headache in patients with ruptured intracranial aneurysms

Abstract: There was a reduction of the primary headache after endovascular treatment of ruptured brain aneurysm.

Cited by 3 publications

References 13 publications

Clinical features and risk factors of angiography headache and evaluation of its relationship to primary headaches

Clinical features and risk factors of angiography headache and evaluation of its relationship to primary headaches

Post procedure headache in patients treated for neurovascular arteriovenous malformations and aneurysms using endovascular therapy

Headache and endovascular procedures

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