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Updated: Jul 15, 2026
09:21
Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Headaches during angiography and endovascular procedures.
Raquel Gil-Gouveia1, Rita Fernandes Sousa, Leonor Lopes
1Centro de Estudos Egas Moniz, Instituto de Medicina Molecular, Lisbon's Faculty of Medicine, Av. Prof. Egas Moniz, 1649-035, Lisboa, Portugal. rgilgouveia@netcabo.pt
Journal of Neurology
|April 7, 2007
Summary
Headaches during endovascular procedures (HdEVP) are uncommon, brief, and mild to moderate. Therapeutic interventions, female gender, and frequent prior headaches increase risk.
Area of Science:
- Neurology
- Interventional Neuroradiology
Background:
- Headaches during cerebral angiography or endovascular procedures are poorly understood.
- Limited data exists on frequency, risk factors, and pathogenesis.
Purpose of the Study:
- Determine the frequency of headaches during endovascular procedures (HdEVP).
- Define characteristics and risk factors of HdEVP.
Main Methods:
- Prospective cross-sectional observational study.
- Adult patients undergoing cerebral angiography or endovascular procedures were evaluated.
- Clinical features, headache history, and procedural variables were recorded.
Main Results:
- 122 procedures were assessed; 13 patients experienced HdEVP.
- Pain was brief, stabbing/pressure, mild-moderate, ipsilateral to the manipulated vessel.
- HdEVP linked to therapeutic interventions, female gender, and >4 prior headaches/month.
Conclusions:
- Headaches during endovascular procedures (HdEVP) are uncommon but warrant further study.
- Pathogenesis may involve mechanical vessel distension activating the trigeminovascular system.
- Susceptible individuals may be at higher risk.
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