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Long COVID and especially headache syndromes.
Claudio Tana1, Maria Adele Giamberardino1,2, Paolo Martelletti3
1Center of Excellence on Headache, Geriatrics and COVID-19 Clinic, SS Annunziata Hospital of Chieti, Chieti.
Current Opinion in Neurology
|April 20, 2023
Summary
Headache is a common symptom of COVID-19 and can persist in Long COVID. Early identification and management are key to preventing chronic headache in SARS-CoV-2 patients.
Area of Science:
- Neurology
- Infectious Diseases
- Public Health
Background:
- Headache is a prevalent symptom in both acute COVID-19 and Long COVID.
- Understanding the characteristics and predictors of COVID-19-associated headaches is crucial for effective patient management.
Approach:
- This review synthesizes recent literature on the complex relationship between SARS-CoV-2 infection and headache.
- It examines headache phenotypes, duration, and potential cerebrovascular complications.
Key Points:
- Headache in acute COVID-19 can be diffuse, oppressive, or migraine-like, often worsening with exertion.
- Headache intensity during the acute phase is a significant predictor of long-term headache duration.
- Clinicians must be vigilant for red flags indicating secondary headaches and consider urgent neuroimaging.
Conclusions:
- Effective management strategies are needed to reduce headache frequency and intensity in COVID-19 patients.
- Particular attention should be paid to persistent headaches in Long COVID to prevent chronicity.
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