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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Migraine and Non-Migraine Headaches Following Diagnostic Catheter-Based Cerebral Angiography

Adnan I Qureshi1,2, Nishath Naseem1,2, Muhammad A Saleem1,3

  • 1Zeenat Qureshi Stroke Institute, St. Cloud, MN, USA.

Headache
|August 17, 2018
PubMed

Insights

Migraine headaches, an under-recognized adverse event, occurred in 3.1% of patients after cerebral angiography. This study quantifies the frequency and characteristics of these post-angiography headaches.

Area of Science:

  • Neurology
  • Radiology
  • Clinical Medicine

Background:

  • Headaches post-cerebral angiography are not well-documented.
  • Catheter-based cerebral angiography is a common diagnostic procedure.
  • Understanding adverse events is crucial for patient care.

Purpose of the Study:

  • To determine the frequency of headaches after catheter-based cerebral angiography.
  • To characterize the types and severity of these headaches.
  • To identify potential risk factors for post-angiography headaches.

Main Methods:

  • Observational cohort study design.
  • Inclusion of consecutive patients undergoing transfemoral or radial cerebral angiography.
  • Neurological assessment post-procedure, with detailed headache evaluation if reported.
  • Classification of headaches using International Headache Society criteria.
  • Assessment of headache severity and time to resolution.

Main Results:

  • Migraine headaches occurred in 3.1% (95% CI 1.0-7.2%) of 158 patients.
  • Median migraine severity was 10/10, with resolution in 120 minutes (range 60-360).
  • Higher incidence in patients with pre-existing migraine history (18.1%).

Conclusions:

  • Migraine headaches are an under-recognized adverse event following cerebral angiography.
  • Provides crucial data on the occurrence rates of these headaches.
  • Highlights the importance of recognizing and managing post-procedural headaches.
Abstract

Keywords:
cerebral angiographycomplicationscontrast agentheadachesmigraine

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