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Headache in lacunar stroke

A V Salgado1, J M Ferro

  • 1Serviço de Neurologia, Hospital de Santa Maria, Faculdade de Medicina de Lisboa, Portugal.

Cephalalgia : an International Journal of Headache
|October 1, 1995
PubMed
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Headache in lacunar stroke patients was associated with less frequent and severe hypertensive small-vessel disease. Clinical characteristics did not predict headache presence, and outcomes were similar between groups.

Area of Science:

  • Neurology
  • Cerebrovascular Disease

Background:

  • Headache is a common symptom, but its specific association with lacunar stroke requires further investigation.
  • Understanding headache's role in lacunar stroke can offer insights into underlying pathophysiology.

Purpose of the Study:

  • To investigate the presence and characteristics of headache in patients with lacunar infarcts.
  • To determine if headache correlates with specific clinical features, risk factors, or outcomes in lacunar stroke.

Main Methods:

  • A cohort of 145 lacunar infarct patients was analyzed for headache occurrence within 72 hours of stroke onset.
  • Clinical data, including hypertension, leukoaraiosis, stroke risk factors, and CT findings, were compared between patients with and without headache.
  • Neurological and functional outcomes at six months were assessed.

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Main Results:

  • Ten percent of patients (14/145) reported diffuse or bilateral headache.
  • Headache patients had less frequent and shorter duration of hypertension compared to those without headache.
  • Leukoaraiosis was less frequent and severe in patients experiencing headache.
  • No significant differences were observed in other stroke characteristics or six-month outcomes.

Conclusions:

  • Headache in lacunar stroke is associated with less severe hypertensive small-vessel disease.
  • Headache presence cannot be predicted by typical clinical stroke characteristics.
  • Headache does not appear to influence short-term neurological or functional outcomes in lacunar stroke.