The Characteristics and Risk Factors of Headache Development after the Coil Embolization of an Unruptured Aneurysm

被引:20
作者
Hwang, G. [1 ]
Jeong, E. -A. [1 ]
Sohn, J. H. [2 ]
Park, H. [3 ]
Bang, J. S. [1 ]
Jin, S. -C. [4 ]
Kim, B. C. [5 ]
Oh, C. W. [1 ]
Kwon, O-K [1 ]
机构
[1] Seoul Natl Univ, Bundang Hosp, Dept Neurosurg, Songnam 463707, Gyeonggi, South Korea
[2] Hallym Univ, Dept Neurol, Chuncheon Sacred Heart Hosp, Chunchon, South Korea
[3] Jeju Natl Univ Hosp, Dept Neurosurg, Cheju, South Korea
[4] Inje Univ, Haeundae Paik Hosp, Dept Neurosurg, Pusan, South Korea
[5] Dongguk Univ, Ilsan Hosp, Dept Neurosurg, Goyang, South Korea
关键词
CEREBRAL-BLOOD-FLOW; ARTERIAL STIFFNESS; MIGRAINE; ATTACKS; PAIN;
D O I
10.3174/ajnr.A3018
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND AND PURPOSE: Development of a headache after aneurysm coil embolization is not uncommon but has received little attention. The authors prospectively analyze the characteristics and risk factors of a headache after coiling in patients treated for an unruptured cerebral aneurysm. MATERIALS AND METHODS: Ninety patients treated for an unruptured cerebral aneurysm over a period of 1 year, and without a headache history within a month before coiling, were enrolled in this study. All coilings were successfully performed without neurologic complications. After coiling, headache development and intensities were recorded. RESULTS: Fifty (55.6%) patients experienced a headache (VAS score, 4.5 +/- 2.02) at 7.9 (range, 0-72) hours, on average, after coiling, and all headaches resolved within an average of 73.0 (range, 3-312) hours. Univariate analysis showed that the following were significantly associated with the development of a headache: age <= 50 years (OR 4.636, 95% CI, 1.414-15.198), hypertension (OR 0.232, 95% CI, 0.095-0.5711, a packing attenuation of >25% (OR 3.619, 95% CI, 1.428-9.174), and a previous headache history (OR 2.769, 95% CI, 1.120-6.849). However, binary logistic regression showed that only a packing attenuation of >25% (P = .013, adjusted OR 3.774, 95% CI, 1.320-10.7901 and no history of hypertension (P = .019, adjusted OR 3.515, 95% CI, 1.233-10.0211 were independently associated with the development of a headache. CONCLUSIONS: A headache frequently developed after the coiling of unruptured aneurysms. However, headaches were relatively benign and resolved within several days. The present study shows that no hypertension history and a packing attenuation of >25% are risk factors of headache development.
引用
收藏
页码:1676 / 1678
页数:3
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