The Risk of Headache Attributed to Surgical Treatment of Intracranial Aneurysms: A Cohort Study

Magalhães, João Eudes; Filho, Hildo Rocha Cirne de Azevedo; Rocha-Filho, Pedro Augusto Sampaio

doi:10.1111/head.12165

Cited by 24 publications

(30 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A final limitation is that we did not evaluate psychiatric factors. Patients with psychiatric symptoms (such as anxiety) before DSA may have an increased risk of headache development compared with those without anxiety . Our results demonstrated that patients with cerebrovascular diseases may be prone to recovery within 24 hours as well as to post‐DSA headache.…”

Section: Discussionmentioning

confidence: 71%

Headache After Cerebral Angiography: Frequency, Predisposing Factors, and Predictors of Recovery

Kwon

Hong

Joo

et al. 2015

Journal of Neuroimaging

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 71%

Headache After Cerebral Angiography: Frequency, Predisposing Factors, and Predictors of Recovery

Kwon

Hong

Joo

et al. 2015

Journal of Neuroimaging

View full text Add to dashboard Cite

show abstract

“…A study that defined PCH as moderate to intense headaches that persisted for more than 6 months found an incidence of 32% . Using the definition of PCH from the ICHD‐2, which is more restrictive than ICHD‐3, incidence of PCH was found to be 40% to 54.9%, acute PCH 10.7%, and chronic PCH 24% to 29.3% . Using ICHD‐3, the incidence of PCH was found to be 60% …”

Section: Epidemiologymentioning

confidence: 99%

“…Patients undergoing neurosurgery to treat intracranial aneurysms have a 2.6‐fold greater chance of having headaches than those who are treated using an endovascular procedure . Studies that evaluate gender, age, and presence of headaches prior to surgery as risk factors for PCH have shown conflicting results . Neurosurgery procedures of duration greater than 4 hours have been correlated with greater risk of PCH …”

Section: Epidemiologymentioning

confidence: 99%

See 1 more Smart Citation

Post‐Craniotomy Headache: A Clinical View With a Focus on the Persistent Form

Rocha-Filho

2015

Headache

View full text Add to dashboard Cite

show abstract

“…42,43 Additionally, it has been shown that anxiety and depression heavily influence headache symptoms. 20,25,33,46 Therefore, the factors that most significantly influence long-term headache in VS are not specific to the diagnosis, but rather are the same predictors for headache in the general population. The importance of asking about baseline headaches cannot be overemphasized.…”

Section: Clinical Predictors Of Long-term Headache Disabilitymentioning

confidence: 99%

Risk factors and analysis of long-term headache in sporadic vestibular schwannoma: a multicenter cross-sectional study

Carlson¹,

Tveiten

Driscoll³

et al. 2015

JNS

View full text Add to dashboard Cite

O ver the last 100 years, the treatment of vestibular schwannoma (VS) has undergone tremendous evolution. 32 With the increasing use of less invasive management methods including observation, stereotactic radiosurgery (SRS), or radiotherapy and subtotal or neartotal resection, incidences of disease-associated mortality, stroke, and permanent facial neuropathy have been substantially reduced. 12,27,32,41 obJect The primary goals of this study were: 1) to examine the influence of disease and treatment on headache in patients with sporadic vestibular schwannoma (VS); and 2) to identify clinical predictors of long-term headache disability.methods This was a cross-sectional observational study with international multicenter enrollment. Patients included those with primary sporadic < 3-cm VS and a separate group of general population control subjects without tumors. Interventions included a postal survey incorporating the Headache Disability Inventory (HDI), the Hospital Anxiety and Depression Scale, and a VS symptom questionnaire. The main outcome measures were univariate and multivariable associations with HDI total score. results The overall survey response rate was 79%. Data from 538 patients with VS were analyzed. The mean age at time of survey was 64 years, 56% of patients were female, and the average duration between treatment and survey was 7.7 years. Twenty-seven percent of patients received microsurgery, 46% stereotactic radiosurgery, and 28% observation. Patients with VS who were managed with observation were more than twice as likely to have severe headache disability compared with 103 control subjects without VS. When accounting for baseline differences, there was no statistically significant difference in HDI outcome between treatment modalities at time of survey. Similarly, among the microsurgery cohort, the long-term risk of severe headache disability was not different between surgical approaches. Multivariable regression demonstrated that younger age, greater anxiety and depression, and a preexisting diagnosis of headache were the primary predictors of severe long-term headache disability, while tumor size and treatment modality had little influence. coNclusioNs At a mean of almost 8 years following treatment, approximately half of patients with VS experience headaches of varying frequency and severity. Patient-driven factors including age, sex, mental health, and preexisting headache syndrome are the strongest predictors of long-term severe headache disability. Tumor size and treatment modality have less impact. These data may assist with patient counseling regarding long-term expectations following diagnosis and treatment.

show abstract

The Risk of Headache Attributed to Surgical Treatment of Intracranial Aneurysms: A Cohort Study

Abstract: Patients who underwent craniotomy had an increased risk of headache after treatment of intracranial aneurysms. The incidence of persistent headache after 3 months was higher among patients who had anxiety before the intervention.

Cited by 24 publications

References 30 publications

Headache After Cerebral Angiography: Frequency, Predisposing Factors, and Predictors of Recovery

Headache After Cerebral Angiography: Frequency, Predisposing Factors, and Predictors of Recovery

Post‐Craniotomy Headache: A Clinical View With a Focus on the Persistent Form

Risk factors and analysis of long-term headache in sporadic vestibular schwannoma: a multicenter cross-sectional study

Contact Info

Product

Resources

About