Headache: A striking prodromal and persistent symptom, predictive of COVID-19 clinical evolution
Autor: | Caronna, Edoardo, Ballvé, Alejandro, Llauradó, Arnau, Gallardo, Víctor J., Ariton, Diana María, Lallana, Sofia, López Maza, Samuel, Olivé Gadea, Marta, Quibus, Laura, Restrepo, Juan Luis, Rodrigo-Gisbert, Marc, Vilaseca, Andreu, Hernandez Gonzalez, Manuel, Martinez Gallo, Monica, Alpuente, Alicia, Torres-Ferrus, Marta, Pujol Borrell, Ricard, Alvárez Sabín, J.., Pozo-Rosich, Patricia, Universitat Autònoma de Barcelona. Departament de Medicina |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male medicine.medical_specialty 2019-20 coronavirus outbreak Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Pneumonia Viral Prodromal Symptoms Betacoronavirus Internal medicine medicine Humans Prospective Studies Prospective cohort study Pandemics Aged Special Section Articles Inflammation loss of smell Headache epidemiology business.industry SARS-CoV-2 Loss of smell Headache COVID-19 General Medicine Middle Aged Prognosis Female Neurology (clinical) prognosis business Coronavirus Infections Biomarkers |
Zdroj: | Cephalalgia Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona |
ISSN: | 1468-2982 |
Popis: | Objective To define headache characteristics and evolution in relation to COVID-19 and its inflammatory response. Methods This is a prospective study, comparing clinical data and inflammatory biomarkers of COVID-19 patients with and without headache, recruited at the Emergency Room. We compared baseline with 6-week follow-up to evaluate disease evolution. Results Of 130 patients, 74.6% (97/130) had headache. In all, 24.7% (24/97) of patients had severe pain with migraine-like features. Patients with headache had more anosmia/ageusia (54.6% vs. 18.2%; p Conclusions Headache associated with COVID-19 is a frequent symptom, predictive of a shorter COVID-19 clinical course. Disabling headache can persist after COVID-19 resolution. Pathophysiologically, its migraine-like features may reflect an activation of the trigeminovascular system by inflammation or direct involvement of SARS-CoV-2, a hypothesis supported by concomitant anosmia. |
Databáze: | OpenAIRE |
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