Headache in cerebrovascular diseases

Abstract

<jats:p>Headache is a common accompanying symptom of cerebrovascular diseases. The most common patterns of headache for different cerebrovascular disorders, aetiology and pathogenesis and diagnostic workup are reviewed with emphasis on distinguishing characteristics. It will be a clinical guide for physicians who treat patients with headache or cerebral vascular disease.</jats:p>

Stroke vs. Preeclampsia: Dangerous Liaisons of Hypertension and Pregnancy

“…Back-of-head headache is most commonly triggered by a blockage of the blood vessels providing vascularization to the back of the brain, while forehead headaches are usually associated with blockades in carotid arteries. Headache caused by a stroke is usually not accompanied by any other sign or symptom [83]. Focal neurological symptoms are a more common stroke manifestation among patients suffering from hemorrhagic compared to ischemic stroke [84].…”

“…Pregnancy and the early postpartum period are delicate and usually the most vulnerable parts of a Medicina 2023, 59, 1707 9 of 14 woman's life. Among women faced with previous cardiovascular, hematological, or neurological conditions, it is the time of possible overlaps between new onset headaches and the increased risk of stroke, and therefore these patients require special attention [83]. Since preeclampsia is accompanied with specific, pregnancy-related features, obstetricians have the possibility to distinguish some pregnancy-related features of preeclampsia from stroke.…”

Comparison of Application Effects of Different Hemostasis Methods After Ischemic Cerebrovascular Intervention

“…Traditional medication has little effect on the formed plaques, especially the moderate and severe vascular stenosis. Carotid endarterectomy was once the gold standard for the treatment of carotid stenosis, but it has been limited due to its large surgical trauma and a relatively small scope of indications ( 5 , 6 ). Interventional therapy belongs to minimally invasive surgery, which is usually performed under local anesthesia.…”

Headache and acute cerebrovascular disease: How do we differentiate primary and secondary headache disorders in the emergency setting?

“…There are multiple postulated mechanisms of headache in acute ischemic stroke of varying etiologies including cardioembolism, large artery occlusive disease, and even lacunar infarcts 5 . Proposed mechanisms of headache include dilatation of pain‐sensitive collateral vessels as a homeostatic response to ischemia, stretch in pain‐sensitive arterial walls due to atheroma, occlusion, and dissection, as well as, in the case of posterior circulation infarcts in particular, abundant trigeminal nerve distribution in posterior cerebral artery and superior cerebellar artery supplied dura mater 5–7 …”

“…5 Proposed mechanisms of headache include dilatation of pain-sensitive collateral vessels as a homeostatic response to ischemia, stretch in pain-sensitive arterial walls due to atheroma, occlusion, and dissection, as well as, in the case of posterior circulation infarcts in particular, abundant trigeminal nerve distribution in posterior cerebral artery and superior cerebellar artery supplied dura mater. [5][6][7] Differentiating primary headache disorders from headaches that may reflect a harbinger or onset of cerebrovascular disease is crucial for harm reduction. The investigators' attempt to identify risk factors associated with missed diagnoses of acute cerebrovascular disease should be lauded.…”