Abstract
Headache is a common symptom after cerebral angiography, although it has seldom been studied. We aimed to evaluate the frequency of headache at 24 h and 6 months after angiography and to describe its characteristics. We used a cross-sectional survey of consecutive patients submitted to angiography and determined headache presence and its characterization. Headache occurrence was analyzed against headache history, clinical data, technical and demographical variables. Of 107 procedures studied, 51.3% patients experienced headaches within 24 h. Patients more likely to experience headaches were females or had subarachnoid hemorrhage. Six months post-procedure 48.8% of patients had frequent headaches. These patients had a positive headache history before the procedure, migraine in particular. Half of patients undergoing routine angiography experience benign post-procedure headaches within 24 h (especially women), yet it does not seem to predispose to chronic long-term headaches.
Keywords: Angiography, Therapeutic embolisation, Headache, Migraine, Endovascular procedures
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References
- 1.Moniz E. Encéphalographie artérielle: son importance dans le diagnostic des tumours cérébrales. Revue Neurologique. 1927;1:48–72. [Google Scholar]
- 2.Willinsky RA, Taylor SM, terBrugge K, Farb RI, Tomlinson G, Montanera W. Neurologic complications of cerebral angiography: prospective analysis of 2899 procedures and review of the literature. Radiology. 2003;227:522–528. doi: 10.1148/radiol.2272012071. [DOI] [PubMed] [Google Scholar]
- 3.Heiserman JE, Dean BL, Hodak JA, Flom RA, Bird CR, Drayer BP, Fram EK. Neurologic complications of cerebral angiography. Am J Neuroradiol. 1994;15:1401–1407. [PMC free article] [PubMed] [Google Scholar]
- 4.Shuaib A, Hachinski VC. Migraine and the risks from angiogaphy. Arch Neurol. 1988;45:911–912. doi: 10.1001/archneur.1988.00520320109024. [DOI] [PubMed] [Google Scholar]
- 5.Ramadan NM, Gilkey SJ, Mitchell M, Sawaya KL, Mitsias P. Postangiography headache. Headache. 1995;35:21–24. doi: 10.1111/j.1526-4610.1995.hed3501021.x. [DOI] [PubMed] [Google Scholar]
- 6.Headache Classification Committee of the International Headache Society (2004) The International Classification of Headache Disorders (second edition). Cephalalgia 24(Suppl 1):1–160 [DOI] [PubMed]
- 7.Rasmussen BK, Olesen J. Symptomatic and nonsymptomatic headaches in a general population. Neurology. 1992;42:1225–1231. doi: 10.1212/wnl.42.6.1225. [DOI] [PubMed] [Google Scholar]
- 8.Silberstein SD. Sex hormones and headache. Revue Neurologique (Paris) 2000;156(Suppl 4):S30–S41. [PubMed] [Google Scholar]
- 9.Edwards RR, Haythornaite JA, Sullivan MJ, Fillingim RB. Catastrophizing as a mediator of sex differences in pain: differential effects for daily pain versus laboratory-induced pain. Pain. 2004;111(3):335–341. doi: 10.1016/j.pain.2004.07.012. [DOI] [PubMed] [Google Scholar]
- 10.Beekman R, Nijssen PCG, Rooij WJ, Wijnalda D. Migraine with aura after intracranial endovascular procedures. Headache. 2001;41:410–413. doi: 10.1046/j.1526-4610.2001.111006410.x. [DOI] [PubMed] [Google Scholar]
- 11.Olesen TS, Johansen AM, Skriver E, Herning MG. Migraine with aura (classical migraine) in patients examined for cerebrovascular disease. Ugeskr Laeger. 1990;152:1513–1515. [PubMed] [Google Scholar]
- 12.Kremer S, Grand S, Dananchet Y, Minotti L, Besson G, Ameur A, Kahane P, Le Bas JF. MRI during postangiography headache. Neurology. 2002;58(9):1425. doi: 10.1212/wnl.58.9.1425. [DOI] [PubMed] [Google Scholar]
- 13.Parsons AA. Cortical spreading depression: its role in migraine pathogenesis and possible therapeutic intervention strategies. Curr Pain Headache Rep. 2004;8:410–416. doi: 10.1007/s11916-996-0016-0. [DOI] [PubMed] [Google Scholar]