Postcraniotomy Headache: Etiologies and Treatments

被引：19
作者：
Bello, Corina [1 ]
Andereggen, Lukas [1 ,2 ]
Luedi, Markus M. [1 ]
Beilstein, Christian M. [1 ]
机构：
[1] Univ Bern, Dept Anaesthesiol & Pain Med, Inselspital, Bern Univ Hosp, Freiburgstr, CH-3010 Bern, Switzerland
[2] Kantonsspital Aarau, Dept Neurosurg, Aarau, Switzerland
来源：
CURRENT PAIN AND HEADACHE REPORTS | 2022年 / 26卷 / 05期
关键词：
Postcraniotomy headache; Neurosurgery; Acute pain; Chronic pain; Enhanced recovery after surgery; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; DOUBLE-BLIND; POSTOPERATIVE PAIN; INTRACRANIAL SURGERY; DIVALPROEX SODIUM; TENSION HEADACHE; DURA-MATER; CRANIOTOMY; GABAPENTIN; MANAGEMENT;
D O I：
10.1007/s11916-022-01036-8
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Purpose of Review Postcraniotomy headache (PCH) is a highly underappreciated and very common adverse event following craniotomy. Recent Findings Analgetic medication with opioids often interferes with neurologic evaluation in the acute phase of recovery and should be kept to a minimal, in general, in the treatment of chronic pain as well. We provide an update on the latest evidence for the management of acute and chronic PCH. Especially in the neurosurgical setting, enhanced recovery after surgery protocols need to include a special focus on pain control. Patients at risk of developing chronic pain must be identified and treated as early as possible.
引用
收藏
页码：357 / 364
页数：8
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