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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Headache in transient ischemic attacks.

Elena R Lebedeva1,2, Natalia M Gurary3, Jes Olesen4

  • 1Department of Neurology and Neurosurgery, The Ural State Medical University, Repina 3, Yekaterinburg, 620028, Russia. elenalebedeva1971@gmail.com.

The Journal of Headache and Pain
|July 29, 2018
PubMed
Summary
This summary is machine-generated.

Migraine prevalence was higher in patients experiencing transient ischemic attacks (TIA). New or worsening headaches, particularly migraine-like, can signal an impending TIA, highlighting the importance of headache evaluation in cerebrovascular disease.

Keywords:
MigraineSecondary headache disordersTIATransient ischemic attackWarning headache

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Area of Science:

  • Neurology
  • Cerebrovascular Disease
  • Headache Disorders

Background:

  • Headache is a common symptom in acute cerebrovascular events.
  • Previous studies have not specifically evaluated headache types in transient ischemic attack (TIA) patients.
  • Understanding headache patterns may aid in TIA prediction and diagnosis.

Purpose of the Study:

  • To investigate the prevalence of specific headache types in patients with TIA.
  • To analyze headache occurrence in the year, week, and at the time of TIA.
  • To compare headache prevalence between TIA patients and a control group.

Main Methods:

  • 120 TIA patients with focal ischemia and symptom resolution within 24 hours were analyzed.
  • Control group comprised 192 patients admitted for non-neurological conditions (lumbago, spinal osteochondrosis, gastrointestinal ulcer).
  • Headache history (last year, last week, at TIA onset) was collected and analyzed.

Main Results:

  • One-year migraine prevalence was significantly higher in TIA patients (20.8%) versus controls (7.8%).
  • 18.3% of TIA patients reported warning headaches in the week preceding TIA.
  • 13.3% experienced a new type of headache at TIA onset, often migraine-like.

Conclusions:

  • Increased prevalence of migraine and pre-TIA headaches suggests a link between headache patterns and TIA risk.
  • New-onset or worsening headaches, especially migraine-like, may serve as warning signs for TIA.
  • Evaluating headache characteristics is crucial for identifying patients at risk of TIA.