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Dialysis headache: characteristics, impact and cerebrovascular evaluation

Eduardo Sousa Melo1, Rodrigo Pinto Pedrosa2, Filipe Carrilho Aguiar3

  • 1Universidade Federal de Pernambuco, Programa de Pós-Graduação em Neuropsiquiatria e Ciências do Comportamento, Recife PE, Brazil.

Arquivos De Neuro-Psiquiatria
|March 30, 2022
PubMed

Insights

Dialysis headache is common and impacts patient quality of life. This study identified factors like female sex and longer dialysis duration associated with its occurrence.

Area of Science:

  • Nephrology
  • Neurology
  • Clinical Research

Background:

  • Headache is a frequent symptom during hemodialysis sessions.
  • Dialysis headache, despite its prevalence, remains understudied.

Purpose of the Study:

  • To evaluate the characteristics and impact of dialysis headache.
  • To identify factors associated with dialysis headache.
  • To compare cerebral vasculature behavior in patients with and without dialysis headache.

Main Methods:

  • Cross-sectional study of 100 hemodialysis patients.
  • Assessment using questionnaires (HIT-6, HADS, SF-36) and Transcranial Doppler ultrasonography.
  • Analysis of demographic, clinical, and vascular parameters.

Main Results:

  • 49% of patients experienced dialysis headache.
  • Factors associated with dialysis headache include female sex, younger age, higher education, and longer dialysis duration.
  • Patients with dialysis headache reported worse quality of life and altered cerebral blood flow patterns (lower pulsatility index).

Conclusions:

  • Dialysis headache is a common complication of hemodialysis.
  • It significantly impacts patient quality of life and is linked to cerebral vasodilatation patterns.
  • Further research is needed to understand and manage dialysis headache.
Abstract

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