Postangiography Headache
作者:
Nabih M. Ramadan,
Stephanie J. Gilkey,
Mary Mitchell,
Kara L. Sawaya,
Panayiotis Mitsias,
期刊:
Headache: The Journal of Head and Face Pain
(WILEY Available online 1995)
卷期:
Volume 35,
issue 1
页码: 21-24
ISSN:0017-8748
年代: 1995
DOI:10.1111/j.1526-4610.1995.hed3501021.x
出版商: Blackwell Science Inc
关键词: headache;migraine;cerebral angiography
数据来源: WILEY
摘要:
In order to study the frequency and characteristics of post‐angiography headache, we interviewed 45 consecutive patients (mean age ± SD= 57 ± 15 years; M/F=15/30) who underwent transfemoral cerebral angiography for: ischemic cerebrovascular disease (n=33); suspected arteriovenous malformations (n=4; one confirmed); suspected cerebral aneurysm (n=5; two confirmed); and arterial dissection (n=3; one confirmed and one was a follow‐up study of a previously demonstrated dissection). Postangiography headache developed in 15 (33%) patients, 125 ± 99 min after the completion of the study. It was unilateral in nine (60%) patients, homolateral to the usual side of migraine headache in two of three migraineurs, and pulsating in six (40%). Nausea, vomiting, photophobia, and phonophobia accompanied postangiography headache in 20%, 7%, 33%, and 20% respectively. Postangiography headache fulfilled the International Headache Society criteria for migraine without aura (except for the number of attacks) in 27% of patients. Patients with and those without postangiography headache were comparable in mean age, sex, and indication for angiography. Fifty‐three percent (8/15) of patients with postangiography headache and 23% (7/30) of the non postangiography headache group reported prior recurrent headaches (P =0.047, likelihood ratio chi‐square). Postangiography headache has the characteristics of delayed arterial pain which may be related to a catheter‐induced or contrast dye‐induced release of vasoactive substances, notably nitric oxide
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