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Published on: June 2, 2014
Toward a better understanding of persistent headache after mild COVID-19: Three migraine-like yet distinct scenarios
Edoardo Caronna1,2, Alicia Alpuente1,2, Marta Torres-Ferrus1,2
1Headache Unit, Neurology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Insights
Persistent headaches after COVID-19 infection are common, but this "post-COVID headache" term covers diverse presentations. Careful evaluation is crucial for understanding these complex, migraine-like symptoms and their causes.
Area of Science:
- Neurology
- Infectious Diseases
- Public Health
Background:
- Coronavirus disease 2019 (COVID-19) has led to a rise in persistent post-infection symptoms.
- Headache is a frequently reported sequela, with
- post-COVID headache
- becoming a common referral reason.
Observation:
- This report details three cases of individuals experiencing migraine-like headaches following mild COVID-19 infections.
- These cases illustrate the varied clinical presentations within the umbrella term
- post-COVID headache
- .
Findings:
- The term
- post-COVID headache
- encompasses a range of headache types, not a single entity.
- Migraine-like headaches represent one significant phenotype of persistent post-COVID neurological symptoms.
Implications:
- Accurate diagnosis and phenotyping of post-COVID headaches are essential for effective patient management.
- Further research into the distinct pathophysiological mechanisms underlying different post-COVID headache types is warranted.
Abstract:
One year after the outbreak of coronavirus disease 2019 (COVID-19), referrals for persistent headache, often defined as "post-COVID headache," have become increasingly common in outpatient headache clinics. However, it is important to take into consideration that this term may include a spectrum of clinically different headache types. We describe three cases of migraine-like headaches in individuals with a history of mild COVID-19 infection to demonstrate some of the different phenotypes of persistent headaches seen. These cases highlight the importance of a careful evaluation when assessing the complexities of "post-COVID headache" as well as the need to further investigate the different, underlying, pathophysiological mechanisms.
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