Postoperative headache in acoustic neuroma.

Abstract:

:Recently, it has become obvious that disabling postoperative headache is a major problem with acoustic neuroma surgery. A questionnaire was used to retrospectively evaluate the incidence, clinical features, prognosis and possible therapeutic measures of this particular form of headache. Forty-two percent (42%) of patients had some headache prior to surgery but this was not a major complaint. After surgery, 75% of patients experienced headache. Only 24% had complete relief of headache. A very gradual improvement of the pain occurred in 32%. Pathogenesis remains unclear, but clinical characteristics of the headache suggest a combination of tension-type, neuralgic and vascular components. Postoperative pain occurs mostly around the surgical site suggesting that this type of headache is the result of surgical trauma. A prospective long-term study is needed to delineate this condition further. Some therapeutic suggestions are offered.

journal_name

Headache

journal_title

Headache

authors

Vijayan N

doi

10.1111/j.1526-4610.1995.hed3502098.x

subject

Has Abstract

pub_date

1995-02-01 00:00:00

pages

98-100

issue

2

eissn

0017-8748

issn

1526-4610

journal_volume

35

pub_type

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