Headaches Attributed to Ischemic Stroke and Transient Ischemic Attack.

Autor: Oliveira FAA; Postgraduate Program in Neuropsychiatry and Behavioral Sciences, Universidade Federal de Pernambuco (UFPE), Recife, Pernambuco, Brazil., Sampaio Rocha-Filho PA; Department of Neuropsychiatry, Universidade Federal de Pernambuco (UFPE), Recife, Pernambuco, Brazil.; Headache Clinic, Hospital Universitario Oswaldo Cruz, Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil.
Jazyk: angličtina
Zdroj: Headache [Headache] 2019 Mar; Vol. 59 (3), pp. 469-476. Date of Electronic Publication: 2019 Jan 22.
DOI: 10.1111/head.13478
Abstrakt: Introduction: Although headaches attributed to ischemic strokes and transient ischemic attack occur frequently, they are often overlooked and underdiagnosed as manifestations of cerebrovascular disease.
Method: This is a narrative review.
Results: The prevalence of headache attributed to ischemic stroke varies between 7.4% and 34% of cases and of headache attributed to transient ischemic attack, from 26% to 36%. Headache attributed to ischemic stroke is more frequent in younger patients, in migraineurs, in those who have suffered a larger stroke, a posterior circulation infarction, or a cortical infarction, and is less frequent in lacunar infarctions. The most common pattern of headache attributed to ischemic stroke is a mild to moderate bilateral pain, not associated with nausea, vomiting, photophobia, or phonophobia. This headache usually has a concomitant onset with focal neurologic deficit and improves over time. The few studies that have assessed the value of headache for a prognosis of ischemic strokes have demonstrated conflicting results. There are no clinical trials on pain management or prophylactic treatment of persistent headache attributed to ischemic stroke.
Conclusion: Headache attributed to ischemic stroke is frequent and usually has a tension-type headache pattern. Its frequency varies according to the stroke's etiology. Further studies are required on pain management, prophylactic treatment, and characteristics of this headache.
(© 2019 American Headache Society.)
Databáze: MEDLINE
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