Headache and Hemodialysis: A Prospective Study

Antoniazzi, Ana L.; Bigal, Marcelo E.; Bordini, Carlos Alberto; Tepper, Stewart J.; Speciali, José Geraldo

doi:10.1046/j.1526-4610.2003.03025.x

Cited by 55 publications

(64 citation statements)

References 9 publications

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“…In our study, headache was reported by 76.1% of the patients, a result similar to those of Bana et al 3 and Antoniazzi et al, who found a prevalence of 70% and 70.7%, respectively [3][4] .…”

Section: Discussionsupporting

confidence: 92%

“…According to Antoniazzi et al 10 , 40.7% in this group reported a dramatic improvement in their headaches after beginning HD. In our study, 33.87% in this subset obtained a decrease of at least 80% in the frequency of the attacks, excluding the attacks during the HD 4 .…”

Section: Discussionmentioning

confidence: 50%

“…In the general recommendation of ICHS-II, in agreement with what has been said by Bana et al 3 , it is possible to diagnose a kind of secondary headache in a patient with a history of primary headache [3][4][5][6][7][8] . The diagnostic criteria are essentially clinical.…”

Section: Discussionmentioning

confidence: 75%

“…Antoniazzi et al 10 , after evaluating 123 individuals, found 50 patients who reported the same complaint 4 .…”

Section: Discussionmentioning

confidence: 99%

“…like the general population, these patients have a high prevalence of headache, according to studies, such complaints are found in circa 70% of the patients [3][4][5] . The hemodialysis headache (HDH), according to Goksel et al and Göksan et al, was found in 30% and 48% of the patients undergoing HD, respectively [6][7] .…”

mentioning

confidence: 99%

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Clinical description of hemodialysis headache in end-stage renal disease patients

Jesus

Oliveira

Paixão

et al. 2009

Arq. Neuro-Psiquiatr.

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-Background: Hemodialysis (HD)-related headaches are a common complaint of patients undergoing this procedure. Objective: To determine the frequency and clinical characteristics of headache in patients undergoing HD and to discuss their diagnostic criteria. Method: The present study assessed, in a prospective manner, a series of patients consulting at a HD center in Aracaju, Sergipe, Brazil, from November 2007 to January 2008. Only patients with HD-related headaches without previous history of primary headache were diagnosed as isolated HD headache (HDH). Results: Headache was reported by 76.1% of the patients studied. Prior to beginning dialysis, 47.9% had migraine without aura, 6.7% migraine with aura, 0.6% hemiplegic migraine, 5% episodic tension-type headache, and 2.5% migraine and tension-type headache. HDH was diagnosed in 6.7% of the patients, the most prevalent features being diffuse or temporal region location, bilateral headache, throbbing nature, and moderate severity. Seven patients with headaches between the sessions were not classified. Conclusion: While the pathophysiology of HDH is unknown, to diagnose patients with HDH or other possible HD-related headaches remains a challenge.Key WOrDS: hemodialysis headache, end-stage renal, clinical description, diagnostic criteria. Caracterização clínica da cefaléia da diálise em pacientes renais crônicosResumo -Cefaléias relacionadas ao programa de hemodiálise é uma queixa comum. Objetivo: Determinar freqüência e características clínicas das cefaléias em pacientes em regime de hemodiálise e discutir critérios diagnósticos. Método: Foi feita uma avaliação clínica prospectiva de pacientes cefalêicos em um serviço de hemodiálise em Aracaju, Sergipe, Brasil, de novembro de 2007 a janeiro de 2008. Apenas pacientes sem antecedente de cefaléia primária receberam diagnóstico de cefaléia da diálise isolada. Resultados: Cefaléia esteve presente em 76,1% dos pacientes estudados. Como antecedente de cefaléia, 47,9% tinham migrânea sem aura, 6,7% migrânea com aura, 0,6% migrânea hemiplégica, 5,5% cefaléia tensional episódica, e 2,5% associação de migrânea e cefaléia tensional. A cefaléia da diálise isolada foi diagnosticada em 6,7% dos pacientes e as localizações difusas e temporais, cefaléia bilateral, pulsátil, e intensidade moderada foram as características mais prevalentes. Conclusão: enquanto a fisiopatologia da cefaléia da diálise for desconhecida, o diagnostico da cefaléia da diálise ou de outras possíveis cefaléias relacionadas à diálise permanecerá um desafio.PAlAvrAS-CHAve: cefaléia da diálise, insuficiência renal terminal, características clínicas, critérios diagnósticos.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 75%

“…Antoniazzi et al 10 , after evaluating 123 individuals, found 50 patients who reported the same complaint 4 .…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Clinical description of hemodialysis headache in end-stage renal disease patients

Jesus

Oliveira

Paixão

et al. 2009

Arq. Neuro-Psiquiatr.

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Complications of Hemodialysis

Song

2017

The Essentials of Clinical Dialysis

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Kopfschmerzen im Alter

Reinisch

Schankin

Felbinger

et al. 2008

Schmerz

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Chronic headache is still a frequent problem in old age, affecting about 10% of all women and 5% of all men older than 70 years. The incidence of primary headache decreases with advancing age, while that of secondary headache increases. The clinical characteristics of migraine can also change with age; for example, vegetative symptoms are less prominent, and less intense migrainous pain localized predominantly in the neck is frequently reported. Migraine aura can also be experienced more frequently in isolation, without a headache. Hypnic headache is a rare primary headache syndrome that occurs almost exclusively in the elderly. Most of the secondary headache syndromes that occur more frequently in old age present clinically as tension-type headache. Examples of rather common reasons for secondary headache syndromes in the elderly are intracranial space-occupying lesions, ophthalmological problems and autoimmune diseases such as giant cell arteritis. Elderly patients are especially likely to have a number of illnesses at any one time for which they take various medications each day, so that headaches can also quite often be caused by their medication or by withdrawal of these. As a result of such multimorbidity the homeostasis is disturbed in such patients, leading to various conditions that can entail concomitant headaches (sleep apnoea syndrome, dialysis headache, headache attributed to arterial hypertension or hypothyroidism). Familiar facial neuralgias, such as trigeminal neuralgia or postherpetic neuralgia following manifest herpes zoster affecting the face, become markedly more frequent with age. In general, in the treatment of headaches in the elderly it is essential to pay careful attention to potential interactions with the multiple drugs needed because of other diseases; in addition, the comorbidities themselves have to be taken into account, especially depression, anxiety and cognitive impairment, necessitating multimodal, interdisciplinary therapy plans.

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Headache and Hemodialysis: A Prospective Study

Abstract: Headache is common in patients undergoing hemodialysis. Classification of such headaches according to the International Headache society criteria may be difficult.

Cited by 55 publications

References 9 publications

Clinical description of hemodialysis headache in end-stage renal disease patients

Clinical description of hemodialysis headache in end-stage renal disease patients

Complications of Hemodialysis

Kopfschmerzen im Alter

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