Abstract:
OBJECTIVES:The purpose of this study was to evaluate the course of headache in patients with moderate-to-severe headache due to aneurysmal subarachnoid hemorrhage (aSAH) and to identify its predisposing factors. BACKGROUND:Little is known about the long-term course of headache in patients with aSAH. METHODS:Since September 2009, patients with aSAH have had their headaches prospectively rated using a numeric rating scale (NRS). From this database containing 838 patients, 217 were included and all included patients met the following criteria: (1) presence of ruptured intracranial aneurysms on computed tomography angiography or magnetic resonance angiography; (2) alert consciousness (Glasgow Coma Scale 15); (3) newly onset moderate-to-severe headache (NRS ≥ 4) due to ruptured intracranial aneurysms; and (4) good clinical outcome at discharge (modified Rankin Scale 0, 1, or 2). We observed the changes in NRS scores from initial to 12-month follow-up and identified the predisposing factors of NRS changes. RESULTS:Of the 217 patients, 182 (83.9%) experienced improvement in NRS score ≤ 3 upon discharge. The NRS scores at discharge were significantly lower than those on admission (P < .001). The independent predisposing factors for headache improvement included previous stroke (odds ratio [OR] = 0.141; 95% CI 0.051-0.381; P < .001), previous headache treated with medication (OR = 0.079; 95% CI 0.010-0.518; P = .008), and endovascular treatment (EVT; OR = 2.531; 95% CI 1.141-5.912; P = .026). The NRS scores tended to decrease continuously until the 12-month follow-up. EVT and symptomatic vasospasm were independently associated with a decrease of NRS in the follow-up periods. CONCLUSIONS:The course of headache in patients with aSAH continuously improved during the 12 months of follow-up. Headache improvement might be expected in patients who were treated with EVT and in those who did not have previous stroke or headache.
journal_name
Headachejournal_title
Headacheauthors
Hong CK,Joo JY,Kim YB,Shim YS,Lim YC,Shin YS,Chung Jdoi
10.1111/head.12612subject
Has Abstractpub_date
2015-07-01 00:00:00pages
992-9issue
7eissn
0017-8748issn
1526-4610journal_volume
55pub_type
杂志文章相关文献
HEADACHE文献大全abstract::Epidemiologic studies provide estimates of the scope and distribution of the public health problems posed by migraine. These studies have been facilitated by the development of the International Headache Society criteria for migraine, which have now been used in separate prevalence studies in several countries. In thi...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/j.1526-4610.1994.hed3406319.x
更新日期:1994-06-01 00:00:00
abstract:BACKGROUND:Migraine is a highly disabling disease affecting a significant proportion of the Australian population. The methylenetetrahydrofolate reductase (MTHFR) C677T variant has been associated with increased levels of homocysteine and risk of migraine with aura (MA). Folic acid (FA), vitamin B6 , and B12 supplement...
journal_title:Headache
pub_type: 杂志文章,随机对照试验
doi:10.1111/head.12490
更新日期:2015-02-01 00:00:00
abstract::The aim of this study was to clarify a possible relationship between pollution and worsening of headache in the industrial city of Turin. From October 1992 to June 1993, we examined a group of 32 patients suffering from various headache types. During these months, they kept a daily record of their headaches and associ...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.1996.3604243.x
更新日期:1996-04-01 00:00:00
abstract:OBJECTIVES:Our objectives were to determine if: (1) patients with migraine have B wave abnormalities in comparison to normal controls and patients with chronic tension headache and (2) patients with chronic tension headache have an imbalance in autonomic activity that is reflected in differences in Mayer wave activity ...
journal_title:Headache
pub_type: 杂志文章
doi:
更新日期:2001-02-01 00:00:00
abstract:OBJECTIVES:The primary objective of the proposed systematic review is to determine if there is an association between internalizing disorders and symptoms (ie, subclinical symptoms) and migraine in children and adolescents. METHODS:We will perform a peer-reviewed Peer Review of Electronic Search Strategies search of M...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/head.13778
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVE:To determine the brain structures involved in mediating the pain of hemicrania continua using positron emission tomography. BACKGROUND:Hemicrania continua is a strictly unilateral, continuous headache of moderate intensity, with superimposed exacerbations of severe intensity that are accompanied by trigemina...
journal_title:Headache
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1526-4610.2004.04141.x
更新日期:2004-09-01 00:00:00
abstract::Two cases of baroreflex failure presented with tension-type/exertional headache. The usefulness of noninvasive physiological tests in diagnosing baroreflex failure and the role of baroreceptors in trigeminal nociception are discussed. ...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2006.00514_3.x
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:A new form of headache, Headache attributed to aeroplane travel (AH), has been recognized within the International Classification of Headache Disorders 3 beta (ICHD-3beta). In 8 out of 85 AH cases we identified the coexistence of a headache with identical features of AH, but appearing during the rapid descen...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/head.12766
更新日期:2016-02-01 00:00:00
abstract::Individuals with tension-type headache report significant anger, depression, anxiety, and stressors. However, it is not clear to what extent these variables are interrelated. The objective of the present study was to explore the role of anger in headaches, and to examine its relationship to anxiety, depression, and da...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.2001.111006021.x
更新日期:2001-01-01 00:00:00
abstract::Migraine affects nearly 12% of the adult population in the United States and causes significant lost productivity and decrements in health-related quality of life. The burden of migraine and the challenge in managing it are increased by the comorbid psychiatric conditions that occur in association with it. Studies in ...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2006.00576.x
更新日期:2006-10-01 00:00:00
abstract::Chronic drug exposure can induce a significant change in neurotransmitter receptor systems and is possibly involved in the pathogenesis of drug-induced neurological disorders. Abuse of analgesics is known to induce deterioration in headache status in patients with primary headaches, especially migraine. To assess the ...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.1998.3807534.x
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVE:To identify and investigate any dysfunction of neuromuscular transmission in episodic cluster headache. BACKGROUND:Abnormal neuromuscular transmission has been shown in migraine with aura and in migraine without aura by using single fiber electromyography. Especially for migraine with aura, a genetic cause h...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.2003.03103.x
更新日期:2003-06-01 00:00:00
abstract:BACKGROUND:A beneficial prophylactic effect from eletriptan 40 mg given to a single patient with cluster headache was observed. OBJECTIVE:To further evaluate the efficacy of eletriptan in the short-term prophylaxis of cluster headache. METHODS:We treated 18 patients; mean age, 40.5 years (standard deviation [SD], 9.9...
journal_title:Headache
pub_type: 临床试验,杂志文章
doi:10.1111/j.1526-4610.2004.04079.x
更新日期:2004-04-01 00:00:00
abstract::Headache is a common disorder in the general population. It is often highly debilitating for the people affected and highly costly to society. Although we know much about primary headaches, little is known about secondary headaches which, however,are a frequent occurrence in the general population. A study conducted o...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/j.1526-4610.2009.01390.x
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to examine chronic brain white matter hyperintensities in migraine and to gain data on the characteristics of the lesions. BACKGROUND:Migraine associates with a higher incidence of magnetic resonance imaging (MRI)-visible white matter signal abnormalities. Several attack-related pat...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/head.12013
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of early acute migraine intervention with almotriptan vs placebo on functional disability and health-related quality of life (HRQoL) indicators. DESIGN/METHODS:In this multicenter, double-blind, parallel-group trial, adults with international classification of headache disorders-def...
journal_title:Headache
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/j.1526-4610.2007.01044.x
更新日期:2008-03-01 00:00:00
abstract:OBJECTIVE:To compare the efficacy and tolerability of sumatriptan nasal spray (NS) (5, 20 mg) versus placebo in the acute treatment of migraine in adolescent subjects. BACKGROUND:Currently, no triptan is approved in the United States for the treatment of migraine in adolescent subjects (12 to 17 years). In a previous ...
journal_title:Headache
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/j.1526-4610.2006.00339.x
更新日期:2006-02-01 00:00:00
abstract::If you vomit with migraines, get full-blown migraines upon awakening, or want rapid relief without injections, consider a nasal spray. Options include triptans (zolmitriptan [Zomig] or sumatriptan [Imitrex]), DHE (Migranal), or an NSAID (Sprix). ...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/head.12045
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:This study examined somatic, psychological, and cognitive functioning of subjects with posttraumatic headache in comparison with multiple control groups. BACKGROUND:Posttraumatic headache is not as widely studied as other forms of headache (eg, tension-type, migraine). Previous research has suggested poor ps...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.2003.03133.x
更新日期:2003-07-01 00:00:00
abstract::Central excitatory circuits could be involved in the pathophysiology of pain; particularly, the genesis of chronic pain. The "second pain" is the sensation that follows the initial pain after an appropriate nociceptive stimulus. The second pain is amplified by repeating the stimulus after brief intervals (temporal sum...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.1997.3708486.x
更新日期:1997-09-01 00:00:00
abstract::Forty-six migraineurs and 69 age- and sex-matched controls referred for MRI scans of the brain were evaluated for the incidence of intracranial pathology. Axial long TR/short TE and long TR/long TE and sagittal short TR/short TE scans were performed in all patients. Enhancement with Gd-DTPA was performed in all contro...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.1992.hed3210507.x
更新日期:1992-11-01 00:00:00
abstract:OBJECTIVE:To determine if the use of a uniform treatment pathway might be effective in treating patients with primary chronic daily headache. METHODS:Thirty-three consecutive patients with primary chronic daily headache were managed according to a treatment pathway which involved sequential administration of divalproe...
journal_title:Headache
pub_type: 临床试验,杂志文章
doi:10.1046/j.1526-4610.1999.3909650.x
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVE:To investigate similarities and differences between patients with cluster headache and patients with migraine. BACKGROUND:Patients with migraine and patients with cluster headache are considered, by many clinical neurologists, to be different psychologically and socially. METHODS:Twenty-five age-matched pai...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.2002.02049.x
更新日期:2002-03-01 00:00:00
abstract::Migraine is a chronic recurrent disorder with episodic manifestations that is progressive in some individuals. Migraine progresses clinically, physiologically, and anatomically. Progression may be a consequence of the mechanisms that generate the migraine attacks (eg, cortical spreading depression) or it may be a func...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/j.1526-4610.2007.00969.x
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Research imaging of brain structure and function has helped to elucidate the pathophysiology of medication overuse headache (MOH). METHODS:This is a narrative review of imaging research studies that have investigated brain structural and functional alterations associated with MOH. Studies included in this r...
journal_title:Headache
pub_type: 杂志文章,评审
doi:10.1111/head.13037
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To test whether chronic headache (>3 days/week) is more prevalent than episodic headache (<3 days/week) in patients with a previous history of significant head trauma. METHOD:We included 903 consecutive patients referred to a specialist center for headache during a period of 2 years. As the main parameter, w...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.2003.03010.x
更新日期:2003-01-01 00:00:00
abstract::A self-administered questionnaire covering the diagnostic criteria of the International Headache Society was completed by 1208 undergraduates of the National University of Singapore to determine the prevalence and characteristics of headaches in this population. The relationship between headaches and depressive illnes...
journal_title:Headache
pub_type: 杂志文章
doi:10.1046/j.1526-4610.1997.3701026.x
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVE:To address the need for a rigorous, direct comparison of prescription and over-the-counter (OTC) migraine drugs and to expand the database on early treatment of migraine. BACKGROUND:Most people who experience migraine use OTC medications to treat their symptoms, but no head-to-head clinical trials comparing ...
journal_title:Headache
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1111/j.1526-4610.2005.05177.x
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:To assess the effect of aspirin on platelet reactivity in migraineurs. BACKGROUND:Migraineurs, particularly women with aura and high monthly migraine frequency, are at risk for ischemic stroke and myocardial infarction (MI). High on-aspirin platelet reactivity (HAPR), or aspirin resistance, has been reported...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2012.02143.x
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:To determine the predictability of future migraine attacks and to describe the effect of migraine on daily life during and between migraine attacks. BACKGROUND:Migraine is associated with substantial economic and humanistic burden. There is growing evidence that early intervention with triptans results in be...
journal_title:Headache
pub_type: 杂志文章
doi:10.1111/j.1526-4610.2010.01630.x
更新日期:2010-09-01 00:00:00