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Published on: June 18, 2021
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[Headache in cerebrovascular diseases]
R G Esin1, E A Gorobets1, Yu V Laykova1
1Kazan (Volga region) Federal University, Kazan, Russia.
Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|April 15, 2026
Summary
Headache can signal serious cerebrovascular diseases. This review details headache features linked to stroke, hemorrhage, and vascular disorders, aiding clinical suspicion and diagnosis.
Area of Science:
- Neurology
- Vascular Neurology
- Diagnostic Neurology
Background:
- Headache is a frequent symptom in patients with cerebrovascular diseases.
- Accurate diagnosis of cerebrovascular conditions relies on understanding headache characteristics.
- The International Classification of Headache Disorders (ICHD-3) provides a framework for classifying headache disorders.
Purpose of the Study:
- To review the clinical features of headaches associated with acute or chronic cerebrovascular diseases.
- To focus on headaches attributed to cranial or cervical vascular disorders as defined by the ICHD-3.
- To enhance clinical suspicion and diagnostic accuracy for cerebrovascular events presenting with headache.
Main Methods:
- A comprehensive literature review was conducted, covering a 20-year search depth.
- The review focused on the 'Headache attributed to cranial or cervical vascular disorder' section of the ICHD-3 (2018).
- Clinical features of headaches associated with various cerebrovascular conditions were analyzed.
Main Results:
- Headaches manifest differently depending on the underlying cerebrovascular cause, including ischemic stroke, subarachnoid hemorrhage, arteritis, and cerebral venous sinus thrombosis.
- Specific headache patterns are associated with transient ischemic attacks, unruptured aneurysms, cervical artery dissection, and reversible cerebral vasoconstriction syndrome.
- Non-traumatic intracerebral hemorrhage and genetic vasculopathies also present with distinct headache characteristics.
- The assessment of headache in patients with cognitive impairment presents unique challenges.
Conclusions:
- Headache is a critical diagnostic clue for a wide spectrum of cerebrovascular diseases.
- Recognizing specific headache features is essential for timely diagnosis and management of cerebrovascular disorders.
- Further research into headache presentation in diverse cerebrovascular conditions, including in cognitively impaired patients, is warranted.
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