Headache attributed to transient ischemic attack: Assessment of its characteristics, associated factors and considerations on the diagnostic criteria

IF 3.6 3区 医学 Q1 CLINICAL NEUROLOGY
Pedro A. Sampaio Rocha-Filho , Felipe A.A. de Oliveira
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引用次数: 0

Abstract

Background

Between 10 % and 36 % of patients with transient ischemic attack present with headache. Little is known regarding the characteristics of this headache.

Objectives

To assess the frequency of headache attributed to transient ischemic attack, its characteristics, and its associated factors, and whether the third edition of the International Classification of Headache Disorders criteria are adequate for diagnosing this headache.

Methods

This was a cross-sectional study that included patients consecutively admitted within 72 h of the onset of transient ischemic attack. A semi-structured questionnaire was used and all patients underwent magnetic resonance imaging.

Results

A total of 44 patients with a median age of 66 years (P25 P75: 59.5–77) were included in the study, of whom 55 % were male. The frequency of headache attributed to transient ischemic attack was 34.1 % (95 % CI: 20.5–49.9 %), and the most common characteristics were insidious onset (67 %), often after focal neurological symptoms (47 %), was bilateral (60 %), of moderate intensity, with a pattern similar to tension-type headache (67 %). One patient reported experiencing a thunderclap headache. Headache attributed to transient ischemic attack was not associated with any sociodemographic variables, any previous headaches, or the severity or etiology of transient ischemic attack. Only 13 % of patients with headache met the International Classification of Headache Disorders criteria for headache attributed to transient ischemic attack.

Conclusions

There is a high frequency of headache attributed to transient ischemic attack. The current diagnostic criteria for this headache are inadequate for its characteristics.
短暂性脑缺血发作引起的头痛:评估其特征、相关因素和诊断标准的考虑。
背景:10%至36%的短暂性脑缺血发作患者伴有头痛。人们对这种头痛的特点知之甚少:评估短暂性脑缺血发作所致头痛的频率、特征及其相关因素,以及第三版《国际头痛疾病分类》标准是否足以诊断这种头痛:这是一项横断面研究,包括在短暂性脑缺血发作发病 72 小时内连续入院的患者。所有患者均接受了磁共振成像检查:研究共纳入 44 名患者,中位年龄为 66 岁(P25-P75:59.5-77),其中 55% 为男性。短暂性脑缺血发作导致的头痛发生率为 34.1%(95% CI:20.5-49.9%),最常见的特征是隐匿性起病(67%),通常在局灶性神经症状(47%)之后发生,双侧性头痛(60%),中等强度,模式类似于紧张型头痛(67%)。有一名患者报告出现了雷鸣般的头痛。短暂性脑缺血发作引起的头痛与任何社会人口变量、以往任何头痛、短暂性脑缺血发作的严重程度或病因均无关。只有13%的头痛患者符合头痛疾病国际分类中关于短暂性脑缺血发作所致头痛的标准:结论:短暂性脑缺血发作引起的头痛发病率很高。结论:由短暂性脑缺血发作引起的头痛发病率很高,目前的诊断标准不足以反映这种头痛的特点。
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来源期刊
Journal of the Neurological Sciences
Journal of the Neurological Sciences 医学-临床神经学
CiteScore
7.60
自引率
2.30%
发文量
313
审稿时长
22 days
期刊介绍: The Journal of the Neurological Sciences provides a medium for the prompt publication of original articles in neurology and neuroscience from around the world. JNS places special emphasis on articles that: 1) provide guidance to clinicians around the world (Best Practices, Global Neurology); 2) report cutting-edge science related to neurology (Basic and Translational Sciences); 3) educate readers about relevant and practical clinical outcomes in neurology (Outcomes Research); and 4) summarize or editorialize the current state of the literature (Reviews, Commentaries, and Editorials). JNS accepts most types of manuscripts for consideration including original research papers, short communications, reviews, book reviews, letters to the Editor, opinions and editorials. Topics considered will be from neurology-related fields that are of interest to practicing physicians around the world. Examples include neuromuscular diseases, demyelination, atrophies, dementia, neoplasms, infections, epilepsies, disturbances of consciousness, stroke and cerebral circulation, growth and development, plasticity and intermediary metabolism.
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