Dialysis Headache: A Narrative Review

Melo, Eduardo Sousa de; Aguiar, Filipe Carrilho de; Rocha-Filho, Pedro Augusto Sampaio

doi:10.1111/head.12875

Cited by 25 publications

(21 citation statements)

References 20 publications

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“…However, there are no controlled studies on prophylactic treatment or abortive treatment of dialysis headache. 9 Frontal bilateral pain, characterized as pulsatile, with no aura, frequently associated with other symptoms such as scintillating scotomas, nausea, vomiting and photophobia is compatible with the literature found.…”

Section: Conclusion and Discussionsupporting

confidence: 89%

Dialysis Headache Associated with Caffeine-Withdrawal Headache in Patients Undergoing Hemodialysis

dos-Santos¹,

Brito

Pinto³

et al. 2019

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Headaches are particularly relevant as a complication of hemodialysis, given that this condition increases the discomfort felt by patients undergoing this therapy. The objective of the present study was to evaluate the prevalence of headache in patients undergoing hemodialysis sessions, particularly considering dialysis headaches due to caffeine-withdrawal. This was a crosssectional, observational, quantitative and qualitative study with questionnaires and interviews. The questionnaire addressed biopsychosocial aspects, clinical aspects and criteria for the classification of headaches according to the International Headache Society. A hundred and sixty patients with stage-V chronic kidney disease responded to the questionnaire during hemodialysis sessions. Headache prevalence was 90% and over the period studied 53.1% of patients presented the symptom. Among these patients with headaches, over half (55.3%) presented criteria for concomitant caffeine-withdrawal headaches and dialysis headaches. The beginning of headaches varied between one month and more than five years, with most occurring for more than five years. Frequency varied from sporadic crises to more than one crisis a day, though more than one crisis a day predominated. The interval between crises was of a few days, with mean duration of less than one hour, which ceased with the use of self-medicated analgesics, with no worsening factor. This condition is a challenge for neurologists and headache experts. More studies are needed to decrease this prevalence, to decrease the abusive use of analgesics and improve the quality of life of these patients.

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Section: Conclusion and Discussionsupporting

confidence: 89%

Dialysis Headache Associated with Caffeine-Withdrawal Headache in Patients Undergoing Hemodialysis

dos-Santos¹,

Brito

Pinto³

et al. 2019

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“…Among the characteristics of this headache are the frontal location, moderate to severe intensity, and onset a few hours after the beginning of dialysis. The headache may be accompanied by nausea and vomiting (4). Regarding the type of headache, a case of new-onset hemodialysis headache has been reported as a migraine with aura (Chirchiglia D et al, 2016) (5).…”

Section: Discussionmentioning

confidence: 99%

Hemodialysis Headache: An Italian Study

Chirchiglia¹,

Caldarola²,

Caserta³

et al. 2019

Ro J Neurol.

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Objective. The aim of this study was to establish the prevalence of hemodialysis headache in a population of Calabrian subjects, in Italy. Methods. We observed a sample of hemodialysis subjects, studied at the University Hospital of Catanzaro and the Hospital of Melito PS, Reggio Calabria. The patients were investigated for the search for hemodialysis headache. The inclusion criteria of the subjects in the study were respected, such as the characteristics of the headache and the close relationship with dialysis. results. The results showed a percentage of hemodialysis headache around 5% of cases. The percentage we found was very low compared with some literature data revealing percentages up to 70% of cases. conclusions. This discrepancy of data is unclear, the results we obtained are in line with few cases of literature. However, our results pose important reflections on the actual prevalence of hemodialysis headache.

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“…Around 50-70% of patients can have a headache during a haemodialysis session. This probably relates to electrolyte disequilibrium effects (sodium, urea, magnesium, calcium), water shifts and hypotension [61]. The headache typically lasts for less than 4 h. Diagnostic criteria according to the international headache classification system include at least three episodes of acute headache each developing during a dialysis session, worsening during dialysis and/or resolving within 72 h of completing dialysis.…”

Section: Dialysis Headachementioning

confidence: 99%

Treatment of Central Nervous System Complications of Renal Dialysis and Transplantation

Dahdaleh

Malhotra

2019

Curr Treat Options Neurol

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Purpose of review Most clinical neurologists will have come across individuals receiving renal replacement therapy who have developed a neurological complication, and neurologists working in, or close to, hospitals with a Renal Unit will be very aware of the range of central nervous system (CNS) complications that may develop in these patients. These can often be difficult to differentiate from disorders relating to renal failure or systemic conditions leading to kidney disease and can in fact arise from the interaction between underlying disease and the side effects of treatment. Patients with renal disease frequently have multiple comorbidities, and it is necessary to take a generally inclusive approach to diagnosis and treatment. Recent findings Unfortunately, there is a lack of specific high-quality evidence for a number of CNS complications of renal replacement therapy. Here, we review the major CNS complications of dialysis and transplantation, discussing evidence for treatments where available and detailing standard management approaches where evidence is scarce. Summary Given the lack of specific evidence for interventions in the treatment of CNS complications of renal replacement therapy, it is often necessary to take an individualised approach based on comorbidities and applying findings from the general population. In these complex patients, we must stress the importance of collaborative working between neurologists and renal physicians when treating this complex patient group.

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Dialysis Headache: A Narrative Review

Abstract: Despite its prevalence, hemodialysis headache has been poorly studied, thus making it difficult to understand the pathophysiological mechanisms involved in its genesis. Current clinical management practices are therefore necessarily empiric with minimal to no evidence base.

Cited by 25 publications

References 20 publications

Dialysis Headache Associated with Caffeine-Withdrawal Headache in Patients Undergoing Hemodialysis

Dialysis Headache Associated with Caffeine-Withdrawal Headache in Patients Undergoing Hemodialysis

Hemodialysis Headache: An Italian Study

Treatment of Central Nervous System Complications of Renal Dialysis and Transplantation

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