Headache Outcomes After Coil Embolization in Patients with Unruptured Intracranial Aneurysms: Do They Get Better or Worse? A Prospective Analysis

Park, Jung Hyun; Kim, Hoon; Kim, Seong Rim; Park, Ik Seong; Byeon, Min Seok; Kim, Young Woo

doi:10.1016/j.wneu.2018.02.138

Cited by 5 publications

(1 citation statement)

References 24 publications

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“…A higher prevalence of migraine headaches with or without aura in patients with cranial aneurysm (8) and improvement of the preexisting migraine headache after endovascular treatment with either coiling or clipping (17) indicate that cranial aneurysm is a causative factor for migraine. Cranial aneurysms may be saccular, fusiform, or dissecting and can be located at various segments of the cranial artery.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Migraine-Like Headache With Visual Aura Initiated by Endovascular Coiling Treatment for a Posterior Cerebral Artery Aneurysm

Chen

Zhang

et al. 2021

Front. Neurol.

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Cervical, anterior, and middle cerebral artery aneurysm is a causative factor for migraine, and endovascular treatment usually improves migraine headache. Posterior cerebral artery (PCA) aneurysm is a rare condition, and its association with migraine is very rarely reported. In addition, endovascular coiling treatment causing migraine-like headache has never been reported. Here, we describe a newly developed migraine-like headache with visual aura after endovascular coiling treatment for PCA aneurysm in a 31-year-old female patient. One month after the endovascular therapy, the patient stopped using the antiplatelet agents clopidogrel and aspirin and presented with an episodic headache attack twice a month with typical migraine features, including visual aura, right-sided temporal throbbing pain accompanied with nausea, vomiting, and photophobia. The recurrence of migraine-like headache with visual aura was terminated by clopidogrel administration. The generation of the migraine-like headache with visual aura is probably associated with microemboli due to endovascular coiling. This case supports the hypothesis that migraine with aura can be associated with microemboli of variant origins.

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Section: Discussionmentioning

confidence: 99%

Case Report: Migraine-Like Headache With Visual Aura Initiated by Endovascular Coiling Treatment for a Posterior Cerebral Artery Aneurysm

Chen

Zhang

et al. 2021

Front. Neurol.

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Association of preoperative aneurysmal wall enhancement with relief of chronic headache after surgical clipping of unruptured intracranial aneurysms

Quan,

Hu,

Zhang

et al. 2023

Eur Radiol

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Headache Outcomes After Treatment of Unruptured Intracranial Aneurysm

Dandurand

Parhar

Naji

et al. 2019

Stroke

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Background and Purpose— While unruptured intracranial aneurysms may be discovered incidentally in the workup of chronic headache, it remains unclear whether their treatment ultimately impacts headache severity. We aim to conduct a systematic review and meta-analysis assessing headache severity after treatment of unruptured intracranial aneurysm. Methods— MEDLINE and EMBASE were systematically reviewed. Results— Data from 7 studies met inclusion criteria (309 nonduplicated patients). The standard mean difference in pre- and post-intervention headache severity was estimated at −0.448 (95% CI, −0.566 to −0.329) under a random effects model. No significant heterogeneity was noted nor was any significant publication bias demonstrated. Conclusions— This is the first systematic review assessing postoperative headache severity following treatment of unruptured intracranial aneurysm. While a significant reduction in headache severity was observed, further investigation into this phenomenon is recommended before it influences clinical practice. Future study should stratify headache outcomes by aneurysm size, location, and treatment modality.

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Headache Outcomes After Coil Embolization in Patients with Unruptured Intracranial Aneurysms: Do They Get Better or Worse? A Prospective Analysis

Cited by 5 publications

References 24 publications

Case Report: Migraine-Like Headache With Visual Aura Initiated by Endovascular Coiling Treatment for a Posterior Cerebral Artery Aneurysm

Case Report: Migraine-Like Headache With Visual Aura Initiated by Endovascular Coiling Treatment for a Posterior Cerebral Artery Aneurysm

Association of preoperative aneurysmal wall enhancement with relief of chronic headache after surgical clipping of unruptured intracranial aneurysms

Headache Outcomes After Treatment of Unruptured Intracranial Aneurysm

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