Acute headache attributed to ischemic stroke: assessment of its characteristics and associated factors.
| Autor: | Oliveira FAA; Universidade Federal de Pernambuco, Área Acadêmica de Neuropsiquiatria do Centro de Ciências Médicas, Recife PE, Brazil.; Real Hospital Português de Beneficência de Pernambuco, Divisão de Neurologia, Recife PE, Brazil., Dourado-Filho MG; Real Hospital Português de Beneficência de Pernambuco, Divisão de Neurologia, Recife PE, Brazil., Rocha-Filho PAS; Universidade Federal de Pernambuco, Área Acadêmica de Neuropsiquiatria do Centro de Ciências Médicas, Recife PE, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2023 Mar; Vol. 81 (3), pp. 225-232. Date of Electronic Publication: 2023 Apr 14. |
| DOI: | 10.1055/s-0043-1763487 |
| Abstrakt: | Background: It is estimated that headache attributed to ischemic stroke occurs in 7.4% to 34% of the cases. Despite its frequency, this headache has been little studied in terms of its risk factors and characteristics. Objective: To assess the frequency and clinical characteristics of headache attributed to ischemic stroke and the factors associated with its occurrence. Methods: The present was a cross-sectional study which included patients consecutively admitted within 72 hours of the onset of ischemic stroke. A semi-structured questionnaire was used. The patients underwent magnetic resonance imaging. Results: A total of 221 patients were included, 68.2% of whom were male, and the mean age was of 68.2 ± 13.8 years. The frequency of headache attributed to ischemic stroke was of 24.9% (95% confidence interval [95%CI]: 19.6-31.1%). The headache had a median duration of 21 hours and most frequently began at the same time as the focal deficit (45.3%), with a gradual onset (83%). It was of moderate intensity, pulsatile (45.3%), bilateral (54.6%), and presented a similar pattern to that of tension-type headache (53.6%). Headache attributed to stroke was significantly associated with previous tension-type headache, and previous migraine with and without aura (logistic regression). Conclusion: Headache attributed to stroke is common, with a pattern similar to that of tension-type headache, and it is associated with a history of tension-type and migraine headaches. Competing Interests: The authors have no conflict of interests to declare. (Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/).) |
| Databáze: | MEDLINE |
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