The Characteristics and Risk Factors of Headache Development after the Coil Embolization of an Unruptured Aneurysm

Abstract

BACKGROUND AND PURPOSE: Development of a headache after aneurysm coil embolization is not uncommon but has received little attention. The authors prospectively analyze the characteristics and risk factors of a headache after coiling in patients treated for an unruptured cerebral aneurysm.

Characteristics of Headache After an Intracranial Endovascular Procedure: A Prospective Observational Study

“…5 In a retrospective study, Takigawa et al reported that 41 (46.6%) patients complained of onset of headaches just after the procedures, and the duration of headaches was 3.44 6 1.22 days. In total, we examined 10 qualified studies.…”

Effect of Endovascular Treatment on Headache in Elderly Patients with Unruptured Intracranial Aneurysms

“…6,30 In a study by Qureshi et al, 6 5 of 15 patients without headache before embolization reported onset of mild (n ϭ 4) or severe (n ϭ 1) headache after treatment. Hwang et al 30 reported that 50 of 90 patients without a history of headache within 1 month before treatment experienced a headache at 7.9 hours, on average, after coiling, and all headaches resolved within an average of 73.0 hours. Compared with published series, our study revealed a relatively low rate (10.0%) of new headache among patients without preoperative headache after treatment.…”

Headache in subarachnoid hemorrhage and headache attributed to intracranial endovascular procedures

“…The duration of headache in IEPs can be longer than 24 h as indicated in ICDH-III Classifation and can last from 3 days to 3 months [31,32]. Some studies focused on risk factors for headache in IEPs.…”

“…Two studies [31,32] exclude the role of a history of hypertension as a risk factor for headache associated with IEPs.…”

“…Headache during endovascular procedures (HdEVP) occurs among 19.1-55.6 % [29,32] of patients undergoing endovascular procedures -either therapeutic embolizations or diagnostic angiography. HdEVP is described as a stabbing or pressure-like mild unilateral short-lasting pain, always occurring in consequence of a specific manoeuvre, which was ipsilateral to the pain location in all but one case.…”