Persistent headache attributed to past cervicocephalic artery dissection: clinical characteristics and contributors to headache persistence.

التفاصيل البيبلوغرافية
العنوان:	Persistent headache attributed to past cervicocephalic artery dissection: clinical characteristics and contributors to headache persistence.
المؤلفون:	Martins BP; Neurology Department, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal.; Clinical Neuroscience and Mental Health Department, Faculty of Medicine, University of Porto, Porto, Portugal., Mesquita I; Clinical Neuroscience and Mental Health Department, Faculty of Medicine, University of Porto, Porto, Portugal., Sousa JM; Neurorradiology Department, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal., Abreu P; Neurology Department, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal.; Clinical Neuroscience and Mental Health Department, Faculty of Medicine, University of Porto, Porto, Portugal., Costa A; Neurology Department, Centro Hospitalar Universitário de São João, E.P.E., Porto, Portugal.; Clinical Neuroscience and Mental Health Department, Faculty of Medicine, University of Porto, Porto, Portugal.
المصدر:	Cephalalgia : an international journal of headache [Cephalalgia] 2023 Feb; Vol. 43 (2), pp. 3331024221144782.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Country of Publication: England NLM ID: 8200710 Publication Model: Print Cited Medium: Internet ISSN: 1468-2982 (Electronic) Linking ISSN: 03331024 NLM ISO Abbreviation: Cephalalgia Subsets: MEDLINE
أسماء مطبوعة:	Publication: Jan. 2010- : London : Sage Original Publication: Oslo : Universitetsforlaget.
مواضيع طبية MeSH:	Neck Pain/etiology , Vertebral Artery Dissection/complications, Humans ; Retrospective Studies ; Quality of Life ; Headache/etiology ; Arteries
مستخلص:	Background: Persistent headache/facial/neck pain attributed to past cervicocephalic arterial dissection is under-documented in literature. Our main goal was to evaluate clinical characteristics and contributors to this persistence. Methods: A retrospective cohort study which included patients with a radiologically confirmed cervicocephalic arterial dissection (2015-2020) in a Portuguese tertiary hospital. Headache persistence was identified through clinical records. A questionnaire aimed to characterize headache in three moments: previous, persistent, and headache at the time of the interview (on average 2.5 years post-event). Results: Ninety-two patients were identified; 24 (26.1%) had headache persistence ≥3 months, and 20 (22.2%) on average after 2.5 years post-event. There were no differences regarding demographics and vascular risk factors among patients with (n = 22) and without (n = 68) headache persistence. The first group had higher previous headache history (68.2% vs 4.4%, p < 0.001), delay in diagnosis (3.6 vs 1.9 days, p < 0.001), and headache/cervicalgia as the first symptom (81.8% vs 41.2%, p < 0.001). At the time of the interview, 20% still reported daily headache. A logistic regression model depicted headache history (OR = 59.8, p < 0.001), acute headache/cervicalgia (odds ratio, OR = 25.4, p = 0.005), posterior circulation dissection (OR = 7.6, p < 0.001), and less than 4 points by National Institutes of Health Stroke Scale score (OR = 5.0, p = 0.025) as contributors to headache persistence. Conclusion: Headache persistence post-cervicocephalic arterial dissection is common, and frequently affects patients daily. As it potentially affects functional outcomes and quality of life, the contributors identified in this study may help clinicians manage patients after the acute event.
فهرسة مساهمة:	Keywords: Cervicocephalic arterial dissection; contributors; persistent headache; secondary headache
تواريخ الأحداث:	Date Created: 20230208 Date Completed: 20230209 Latest Revision: 20230209
رمز التحديث:	20231215
DOI:	10.1177/03331024221144782
PMID:	36751874
قاعدة البيانات:	MEDLINE

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تدمد:	1468-2982
DOI:	10.1177/03331024221144782