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Headache in stroke

K Vestergaard1, G Andersen, M I Nielsen

  • 1Department of Neurology, Aalborg Hospital, Denmark.

Stroke
|November 1, 1993
PubMed
Summary
This summary is machine-generated.

Headache affects one-fourth of acute stroke patients, often presenting as tension-type or migraine-like pain. Unilateral headaches typically correspond to the stroke lesion side.

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Area of Science:

  • Neurology
  • Stroke Medicine
  • Headache Disorders

Background:

  • The etiology and classification of headaches in stroke patients remain poorly understood.
  • The relationship between stroke-related headaches and pre-existing migraine or tension-type headaches is unclear.

Purpose of the Study:

  • To prospectively investigate and classify headaches in acute stroke patients.
  • To utilize the International Headache Society's 1988 classification criteria for headache assessment.

Main Methods:

  • Prospective examination of 280 consecutively admitted stroke patients (under 81 years).
  • Assessment of headache occurrence and characteristics in relation to stroke type and location.
  • Classification of headaches based on the International Headache Society criteria.

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Main Results:

  • Headache occurred in 27% of patients (65/238) within 3 days of stroke onset.
  • Headache prevalence varied by stroke type: 50% in intracerebral hemorrhage, 26% in infarction, and 15% in lacunar infarction.
  • Headache was more frequent in posterior circulation strokes and often ipsilateral to the lesion in unilateral cases.

Conclusions:

  • Approximately one-fourth of acute stroke patients experience headache.
  • Unilateral headaches in stroke patients are typically ipsilateral to the stroke lesion.
  • Headache severity in ischemic stroke does not correlate with lesion size or location.