De novo headache in ischemic stroke patients treated with thrombectomy: a prospective study

Background and aim Headache attributed to intracranial endovascular procedures is described in the ICHD-3. Our aim was to study the frequency and characteristics of headache specifically related to thrombectomy in patients with ischemic stroke. Methods Prospective evaluation of clinical features of...

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Autores: Gallo, Daniel, Leire, Manrique, Polanco, Marcos, González Mandly, Andrés Antonio, Torres Díaz, Eduardo, Palacio Portilla, Enrique Jesús, Vázquez Barquero, José Luis, Pérez Pereda, Sara, González Quintanilla, Vicente, Madera Fernández, Jorge, Pascual Gómez, Julio|||0000-0002-3189-7573
Formato: artículo
Fecha de publicación:2022
País:España
Recursos:Universidad de Cantabria (UC)
Repositorio:UCrea Repositorio Abierto de la Universidad de Cantabria
Idioma:inglés
OAI Identifier:oai:repositorio.unican.es:10902/25679
Acesso em linha:http://hdl.handle.net/10902/25679
Access Level:acceso abierto
Palavra-chave:Endovascular thrombectomy
Headache
ICHD-3
Stroke
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spelling De novo headache in ischemic stroke patients treated with thrombectomy: a prospective studyGallo, DanielLeire, ManriquePolanco, MarcosGonzález Mandly, Andrés AntonioTorres Díaz, EduardoPalacio Portilla, Enrique JesúsVázquez Barquero, José LuisPérez Pereda, SaraGonzález Quintanilla, VicenteMadera Fernández, JorgePascual Gómez, Julio|||0000-0002-3189-7573 Endovascular thrombectomyHeadacheICHD-3StrokeBackground and aim Headache attributed to intracranial endovascular procedures is described in the ICHD-3. Our aim was to study the frequency and characteristics of headache specifically related to thrombectomy in patients with ischemic stroke. Methods Prospective evaluation of clinical features of headache after thrombectomy using an ad hoc questionnaire. Results One hundred seventeen patients were included (52.1% females). Most had an anterior circulation artery occlusion (91.5%). 93 (79.5%) received general anaesthesia. 111 (94.9%) required stent retriever, 21 (24.4%) angioplasty and 19 (16.2%) aspiration thrombectomy. 31 (26.5%; 95% CI 18.8?35.5%) had headache related to thrombectomy, and it was associated with a history of primary headache (p =?0.004). No differences about sex, initial NIHSS score, or the type or complexity of the procedure were observed. Headache was usually moderate and oppressive, ipsilateral to the artery occlusion and usually lasted less than 48?hours. Conclusions Almost one-third of patients with ischemic stroke who undergo endovascular thrombectomy experience headache in the first 24?hours, occurring more frequently in patients who had a previous history of headaches regardless of the procedure complexity.Acknowledgments: The authors received no financial supportSpringerUniversidad de Cantabria20222022-01-01journal articlehttp://purl.org/coar/resource_type/c_6501NAhttp://purl.org/coar/version/c_be7fb7dd8ff6fe43info:eu-repo/semantics/articlehttp://hdl.handle.net/10902/25679The Journal of Headache and Pain volume 23, Article number: 85 (2022)reponame:UCrea Repositorio Abierto de la Universidad de Cantabriainstname:Universidad de Cantabria (UC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositorio.unican.es:10902/256792026-06-02T12:39:31Z
dc.title.none.fl_str_mv De novo headache in ischemic stroke patients treated with thrombectomy: a prospective study
title De novo headache in ischemic stroke patients treated with thrombectomy: a prospective study
spellingShingle De novo headache in ischemic stroke patients treated with thrombectomy: a prospective study
Gallo, Daniel
Endovascular thrombectomy
Headache
ICHD-3
Stroke
title_short De novo headache in ischemic stroke patients treated with thrombectomy: a prospective study
title_full De novo headache in ischemic stroke patients treated with thrombectomy: a prospective study
title_fullStr De novo headache in ischemic stroke patients treated with thrombectomy: a prospective study
title_full_unstemmed De novo headache in ischemic stroke patients treated with thrombectomy: a prospective study
title_sort De novo headache in ischemic stroke patients treated with thrombectomy: a prospective study
dc.creator.none.fl_str_mv Gallo, Daniel
Leire, Manrique
Polanco, Marcos
González Mandly, Andrés Antonio
Torres Díaz, Eduardo
Palacio Portilla, Enrique Jesús
Vázquez Barquero, José Luis
Pérez Pereda, Sara
González Quintanilla, Vicente
Madera Fernández, Jorge
Pascual Gómez, Julio|||0000-0002-3189-7573
author Gallo, Daniel
author_facet Gallo, Daniel
Leire, Manrique
Polanco, Marcos
González Mandly, Andrés Antonio
Torres Díaz, Eduardo
Palacio Portilla, Enrique Jesús
Vázquez Barquero, José Luis
Pérez Pereda, Sara
González Quintanilla, Vicente
Madera Fernández, Jorge
Pascual Gómez, Julio|||0000-0002-3189-7573
author_role author
author2 Leire, Manrique
Polanco, Marcos
González Mandly, Andrés Antonio
Torres Díaz, Eduardo
Palacio Portilla, Enrique Jesús
Vázquez Barquero, José Luis
Pérez Pereda, Sara
González Quintanilla, Vicente
Madera Fernández, Jorge
Pascual Gómez, Julio|||0000-0002-3189-7573
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad de Cantabria
dc.subject.none.fl_str_mv Endovascular thrombectomy
Headache
ICHD-3
Stroke
topic Endovascular thrombectomy
Headache
ICHD-3
Stroke
description Background and aim Headache attributed to intracranial endovascular procedures is described in the ICHD-3. Our aim was to study the frequency and characteristics of headache specifically related to thrombectomy in patients with ischemic stroke. Methods Prospective evaluation of clinical features of headache after thrombectomy using an ad hoc questionnaire. Results One hundred seventeen patients were included (52.1% females). Most had an anterior circulation artery occlusion (91.5%). 93 (79.5%) received general anaesthesia. 111 (94.9%) required stent retriever, 21 (24.4%) angioplasty and 19 (16.2%) aspiration thrombectomy. 31 (26.5%; 95% CI 18.8?35.5%) had headache related to thrombectomy, and it was associated with a history of primary headache (p =?0.004). No differences about sex, initial NIHSS score, or the type or complexity of the procedure were observed. Headache was usually moderate and oppressive, ipsilateral to the artery occlusion and usually lasted less than 48?hours. Conclusions Almost one-third of patients with ischemic stroke who undergo endovascular thrombectomy experience headache in the first 24?hours, occurring more frequently in patients who had a previous history of headaches regardless of the procedure complexity.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
NA
http://purl.org/coar/version/c_be7fb7dd8ff6fe43
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10902/25679
url http://hdl.handle.net/10902/25679
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv The Journal of Headache and Pain volume 23, Article number: 85 (2022)
reponame:UCrea Repositorio Abierto de la Universidad de Cantabria
instname:Universidad de Cantabria (UC)
instname_str Universidad de Cantabria (UC)
reponame_str UCrea Repositorio Abierto de la Universidad de Cantabria
collection UCrea Repositorio Abierto de la Universidad de Cantabria
repository.name.fl_str_mv
repository.mail.fl_str_mv
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