Endovascular thrombectomy and post-procedural headache
| Autor: | Sabrina Khan, Hashmat Ghanizada, Anna Maria Florescu, Messoud Ashina, Zainab Fakhril-Din, Julie Falkenberg Petersen, Klaus Marius Hansen, Markus Holtmannspötter, David Gaist, Faisal Mohammad Amin, Cenk Ayata |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
Complications Neurology 030204 cardiovascular system & hematology Postoperative Complications 0302 clinical medicine Migraine Disorders/epidemiology Prevalence Stroke Thrombectomy Aged 80 and over Headache General Medicine Middle Aged 3. Good health Treatment Outcome Female Postoperative Complications/etiology medicine.symptom Headaches EVT Risk Adult medicine.medical_specialty Migraine Disorders Short Report Clinical Neurology New onset 03 medical and health sciences Internal medicine medicine Humans In patient Migraine Aged business.industry medicine.disease Migraine with aura Surgery Headache/epidemiology Anesthesiology and Pain Medicine Thrombectomy/adverse effects Stroke/surgery International Classification of Headache Disorders Neurology (clinical) business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Khan, S, Amin, F M, Holtmannspötter, M, Hansen, K, Florescu, A M, Fakhril-Din, Z, Petersen, J F, Ghanizada, H, Ayata, C, Gaist, D & Ashina, M 2017, ' Endovascular thrombectomy and post-procedural headache ', Journal of Headache and Pain, vol. 18, 10 . https://doi.org/10.1186/s10194-017-0719-0 The Journal of Headache and Pain |
| Popis: | Background We investigated the prevalence of post-procedural headache in patients who have undergone thrombectomy for ischemic stroke, and correlated history of migraine with risk of peri-procedural complications. A total of 314 patients underwent thrombectomy at the Danish National Hospital from January 2012 to December 2014. Eligible subjects were phone-interviewed using a purpose-developed semi-structured questionnaire according to the International Classification of Headache Disorders 3, beta version criteria. Findings Among 96 eligible subjects, there was a significant decrease in migraine (p = 0.022) within the first 3 months after EVT compared to 1 year before treatment, which was further evident at interview time (on average 1.6 years after EVT, p = 0.013). A minority of patients experienced headaches for the first time within 3 months of their EVT (migraine 2, TTH 9), which persisted at interview time for subjects with migraine. Out of 12 subjects with peri-procedural complications, 2 had a history of migraine with aura. Conclusion Thrombectomy leads to a significant decrease in previously known migraine, and new onset of headache in a small subset of patients. A history of migraine does not appear to predispose to peri-procedural complications. Electronic supplementary material The online version of this article (doi:10.1186/s10194-017-0719-0) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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