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.
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.