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Published on: June 2, 2014
Headache in long COVID as disabling condition: A clinical approach
Arthur Nascimento Rodrigues1, Apio Ricardo Nazareth Dias1, Alna Carolina Mendes Paranhos1,2
1Center for Biological Health Sciences, State University of Pará, Belém, Pará, Brazil.
Long COVID headaches can worsen pre-existing headache disorders and lead to chronic headaches. Factors like hospital admission, back pain, insomnia, and paresthesia are associated with these debilitating headaches.
Area of Science:
- Neurology
- Infectious Diseases
- Public Health
Background:
- Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is known to trigger or worsen headache disorders.
- Long COVID, a persistent condition following SARS-CoV-2 infection, frequently presents with new or exacerbated headaches.
Purpose of the Study:
- To investigate the clinical characteristics of headaches experienced by individuals with Long COVID.
- To identify factors associated with headache development and severity in the context of Long COVID.
Main Methods:
- A cross-sectional, descriptive, and analytical observational study was conducted.
- 102 patients with Long COVID and headache complaints were included (50 with prior headaches, 52 without).
- The Migraine Disability Assessment Test and Visual Analog Pain Scale were utilized for data collection.
Main Results:
- Patients with pre-existing headaches experienced longer headache duration during Long COVID.
- Analgesics provided partial symptom improvement (p=0.045), and a Long COVID duration under 1 year was noted (p=0.030).
- Hospital admission, back pain, insomnia, and paresthesia were significantly associated with headaches in Long COVID patients.
Conclusions:
- Headaches represent a significant disabling symptom in Long COVID patients.
- Long COVID headaches can exacerbate pre-existing headache conditions, leading to chronic and severe pain.
- Identifying associated factors is crucial for managing Long COVID-related headaches.
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