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Headache and endovascular procedures.

Stefano de Biase1, Marco Longoni2, Gian Luigi Gigli1

  • 1Neurology Unit, Department of Experimental and Clinical Medical Sciences, University of Udine Medical School, Udine, Italy.

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
|May 21, 2017
PubMed
Summary
This summary is machine-generated.

Headaches linked to vascular lesions may improve after intracranial endovascular procedures (EVPs). However, current research is conflicting, necessitating larger studies to confirm the benefits of EVPs for headache relief.

Keywords:
AngiographyArteriovenous malformationCerebral aneurysmEndovascular proceduresHeadache

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Area of Science:

  • Neurology
  • Vascular Medicine
  • Headache Medicine

Background:

  • Headache is a common symptom associated with vascular lesions.
  • Intracranial endovascular procedures (EVPs) are used to treat various cerebrovascular conditions.
  • The International Classification of Headache Disorders (ICHD-3 beta) recognizes headache attributed to EVPs.

Purpose of the Study:

  • To review the clinical presentation and pathophysiology of headaches associated with vascular lesions and EVPs.
  • To synthesize current evidence on the impact of EVPs on headache.
  • To identify gaps in knowledge and suggest future research directions.

Main Methods:

  • Literature review of studies investigating headache in patients with vascular lesions and following EVPs.
  • Analysis of clinical data and pathophysiological mechanisms.
  • Synthesis of findings from existing research.

Main Results:

  • Evidence suggests that EVPs may lead to headache improvement in some patients.
  • However, studies show contradictory results regarding the efficacy of EVPs for headache.
  • The precise pathophysiological mechanisms linking EVPs and headache require further elucidation.

Conclusions:

  • Headache related to vascular lesions and EVPs is a complex clinical issue.
  • Current evidence is inconclusive, highlighting the need for more robust research.
  • Further large-scale studies are essential to determine the definitive effect of EVPs on headache.