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Persistent headache after first-ever ischemic stroke: clinical characteristics and factors associated with its
Elena R Lebedeva1,2, Anton V Ushenin3, Natalia M Gurary4
1Department of Neurology, the Ural State Medical University, Repina 3, Yekaterinburg, 620028, Russia. cosmos@k66.ru.
The Journal of Headache and Pain
|August 17, 2022
Summary
Persistent headache after ischemic stroke affects over 10% of patients and often leads to medication overuse. This common complication significantly impacts quality of life and warrants attention in stroke patient follow-up.
Area of Science:
- Neurology
- Stroke Medicine
- Headache Disorders
Background:
- Persistent headache following ischemic stroke is not well-characterized.
- Understanding its incidence and impact is crucial for patient care.
Purpose of the Study:
- Determine the incidence of persistent headache attributed to ischemic stroke.
- Describe headache characteristics, treatment, and associated factors.
- Analyze medication overuse headache prevalence in this population.
Main Methods:
- Prospective study of 550 first-ever ischemic stroke patients.
- Follow-up at 3 months using standardized interviews.
- Evaluation of headache characteristics and associated factors.
Main Results:
- 10.4% of patients (55/529) experienced persistent headache attributed to ischemic stroke at 3 months.
- Associated factors included lack of sleep, cerebellar infarct, and undetermined stroke etiology.
- Medication overuse headache developed in one-third of patients with persistent headache.
Conclusions:
- Persistent headache post-ischemic stroke is a common and often overlooked issue.
- It significantly affects quality of life and frequently involves medication overuse.
- This condition requires greater focus during stroke patient follow-up.
Keywords:
HeadacheInternational classification of headache disordersMedication overuse headachePersistent headachePost-stroke painStrokeMore Related Videos
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