Headache During Hemodialysis

Bana, Dhirendra S.; Yap, Anita U.; Graham, John R.

doi:10.1111/j.1526-4610.1972.hed1201001.x

Cited by 64 publications

(117 citation statements)

References 6 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: 80%

“…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: 52%

“…Bana et al 3 have proposed that a longer interval between the sessions could be related to the incidence of headache during the HD 3 . As the patients have three sessions per week every other day, we expected a higher incidence of attacks in Mondays and Tuesdays.…”

mentioning

confidence: 99%

“…Some reports have identified possible factors related to HD crises of headache, such as changes in arterial pressure and in the levels of magnesium and sodium in the blood 3,6,7,9 .…”

mentioning

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: 80%

Section: Discussionmentioning

confidence: 52%

mentioning

confidence: 99%

“…Some reports have identified possible factors related to HD crises of headache, such as changes in arterial pressure and in the levels of magnesium and sodium in the blood 3,6,7,9 .…”

mentioning

confidence: 99%

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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Progressive dialysis encephalopathy

Lederman

Henry

1978

Annals of Neurology

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The clinical features of 42 patients with the only recently recognized and generally fatal neurological syndrome of progressive dialysis encephalopathy are reviewed and the electroencephalographic and neuropathological findings are summarized. Despite apparently successful hemodialysis, these patients develop a wide spectrum of neurological abnormalities. Of these, sudden onset of hesitant, nonfluent speech is the most characteristic and usually the earliest sign. Both dysphasic and dysarthritic elements are found, though the former predominate. Myoclonus, dementia, seizures, and gait difficulty are also seen in the majority of these patients. EEGs are more abnormal than would be expected for the clinical severity, with some type of high-voltage spike-wave pattern intermixed with abundant slow activity. The combination of clinical and EEG features in the appropriate setting is virtually diagnostic. Transient episodes with variable periods of complete or partial remission have been recognized. Neuropathological changes are surprisingly mild and nonspecific. The cause is uncertain; current speculation focuses on aluminum as the offending neurotoxin. Treatment remains unsatisfactory.

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Trigger Identification and Elimination

Kaniecki

2021

Integrative Headache Medicine

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Headache During Hemodialysis

Cited by 64 publications

References 6 publications

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

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

Progressive dialysis encephalopathy

Trigger Identification and Elimination

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