脑静脉血栓形成慢性期头痛。

Alexandre Souza Bossoni, Mario Fernando Prieto Peres, Claudia da Costa Leite, Ida Fortini, Adriana Bastos Conforto
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引用次数: 1

摘要

背景:头痛是脑静脉血栓形成(CVT)最常见的症状,但关于脑静脉血栓形成后数周至数月头痛的频率和表型的信息有限(脑静脉血栓形成后头痛,PCH)。目的:探讨PCH的发病频率、特点及预测因素。方法:在本横断面研究中,评估脑静脉血栓形成幸存者PCH的频率和特征。在脑静脉血栓诊断后6个月至5年内对患者进行访谈。比较脑静脉血栓形成组(GroupPCH)和非GroupPCH组(groucontrol)在脑静脉血栓形成诊断时的临床和影像学特征,以及脑静脉血栓形成前的头痛病史。结果:受试者(n = 100;82%的女性)平均随访1.1±1.6年。59%的患者存在PCH, 31/59(52.6%)存在紧张型头痛,16/59(27.1%)存在偏头痛样头痛。脑静脉血栓形成前的原发性头痛病史更为常见(OR: 6.4;95% CI: 1.7 ~ 36.3), GroupPCH组(33.9%)高于groucontrol组(7.3%)。结论:半数以上患者存在PCH。既往头痛史可能是PCH的危险因素。需要前瞻性研究来证实这些发现,确定PCH的机制,以及预防和治疗PCH的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Headache at the chronic stage of cerebral venous thrombosis.

Background: Headache is the most frequent symptom of cerebral venous thrombosis (CVT) but there is limited information about the frequency and phenotype of headache, weeks to months after cerebral venous thrombosis (post-cerebral venous thrombosis headache, PCH).

Objective: To assess the frequency, characteristics and predictors of PCH.

Methods: In this cross-sectional study, the frequency and characteristics of PCH were assessed in cerebral venous thrombosis survivors. Patients were interviewed between six months and five years after the cerebral venous thrombosis diagnosis. Clinical and imaging characteristics at the time of cerebral venous thrombosis diagnosis, as well as history of headache prior to cerebral venous thrombosis were compared in subjects with (GroupPCH) and without PCH (Groupcontrol).

Results: Subjects (n = 100; 82% women) were assessed, on average, at 1.1 ± 1.6 years of follow-up. PCH was present in 59% of the patients, phenotypes of tension-type-like headache were present in 31/59 (52.6%) and of migraine-like headache in 16/59 (27.1%). History of primary headache prior to cerebral venous thrombosis was significantly more common (OR: 6.4; 95% CI: 1.7-36.3) in GroupPCH (33.9%) than in Groupcontrol (7.3%).

Conclusion: PCH was present in more than half of the patients. History of prior headache may be a risk factor for PCH. Prospective studies are required to confirm these findings and determine mechanisms, as well as interventions for prevention and treatment of PCH.

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