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Persistent headache after supratentorial craniotomy.

A Kaur1, L Selwa, G Fromes

  • 1Section of Neurosurgery, University of Michigan Medical Center, Ann Arbor, USA.

Neurosurgery
|September 12, 2000
PubMed
Summary
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Persistent headaches after supratentorial craniotomy are not uncommon, affecting nearly 12% of patients one year post-surgery. Further research is needed to understand the causes of this post-craniotomy pain.

Area of Science:

  • Neurosurgery
  • Neurology
  • Pain Medicine

Background:

  • Persistent headache following suboccipital craniotomy is well-documented.
  • Limited data exists on persistent headache after supratentorial craniotomy.

Purpose of the Study:

  • To investigate the incidence and characteristics of persistent headache after supratentorial craniotomy.

Main Methods:

  • Retrospective analysis of 145 patients undergoing anterior temporal lobectomy for epilepsy.
  • Exclusion of patients with confounding headache causes (seizures, mass lesions, vascular anomalies, complications).
  • Data collected via patient records, neurologist reports, and patient interviews.

Main Results:

  • 126 patients had adequate follow-up; 22 (17.5%) experienced headaches beyond 2 months postoperatively.

Related Experiment Videos

  • 15 patients (11.9%) had ongoing headaches at 1 year.
  • 4.0% had medically uncontrolled headaches, and 3.2% required prescription drugs at 1 year.

    • Conclusions:

    • Persistent headache after supratentorial craniotomy occurs at a non-trivial incidence.
    • The incidence is lower than reported for posterior fossa procedures.
    • Further investigation into the causes of persistent post-craniotomy pain is warranted.