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Headache secondary to cerebrovascular disease

John F Rothrock1, Hans-Christoph Diener2

  • 1Department of Neurology, George Washington University School of Medicine, MFA Building, Department of Neurology, Washington, DC, USA.

Cephalalgia : an International Journal of Headache
|March 19, 2021
PubMed

Insights

Headache is a key indicator of cerebrovascular diseases, sometimes being the primary symptom. Prompt diagnosis is crucial when headache accompanies focal neurological deficits.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Neuroscience

Background:

  • Headache is a significant symptom in cerebrovascular diseases.
  • In certain conditions, headache may be the primary presenting symptom.
  • Migraine is recognized as a risk factor for stroke.

Purpose of the Study:

  • To review and discuss headaches associated with cerebrovascular diseases.
  • To highlight the importance of headache as a symptom in vascular neurological conditions.

Main Methods:

  • A literature search was conducted using the terms "headache" and "cerebrovascular diseases".

Main Results:

  • Studies on headache in subarachnoid hemorrhage, intracerebral hemorrhage, ischemic stroke, transient ischemic attack (TIA), basilar artery thrombosis, cervical artery dissection, cerebellar stroke, arteritis, and cerebral sinus venous thrombosis were reviewed.
  • The relationship between migraine and stroke was examined.
  • Thunderclap headache was also discussed in the context of cerebrovascular events.

Conclusions:

  • Headache frequently serves as a primary symptom of various cerebrovascular diseases.
  • The presence of headache combined with focal neurological deficits necessitates urgent diagnostic evaluation and timely treatment.
Abstract

Keywords:
Ischemic strokearteritiscerebral sinus venous thrombosiscervical artery dissectionintracerebral hemorrhagetreatment

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