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Cefalea atribuida a accidente cerebrovascular isquémico: prevalencia, fenotipos y análisis de factores asociados
Monton Wongwandee1, Bhurapol Prommongkol2
1Department of Medicine, Faculty of Medicine, Srinakharinwirot University, Nakhon Nayok, 26120, Thailand. monton@g.swu.ac.th.
Resumen
La cefalea por accidente cerebrovascular isquémico agudo puede causar cefalea en casi una cuarta parte de los pacientes. Esta cefalea suele ser leve y de tipo tensional, siendo el sexo femenino y la aterosclerosis de grandes arterias los principales factores de riesgo.
Área de la Ciencia:
- Neurología
- Medicina de Accidentes Cerebrovasculares
- Trastornos de Cefalea
Sus antecedentes:
- La presentación de cefalea en el accidente cerebrovascular isquémico agudo no está bien definida.
- Comprender las características de la cefalea y los factores de riesgo es crucial para identificar la etiología del accidente cerebrovascular.
Objetivo del estudio:
- Determinar la prevalencia de cefalea aguda en pacientes con accidente cerebrovascular isquémico.
- Caracterizar las características clínicas de la cefalea atribuida a accidente cerebrovascular.
- Identificar los predictores independientes de cefalea en accidente cerebrovascular isquémico.
Principales métodos:
- Estudio transversal de pacientes con accidente cerebrovascular isquémico agudo.
- Entrevistas estructuradas sobre cefalea utilizando los criterios de la Clasificación Internacional de Cefaleas.
- Alberta Stroke Program Early CT Score para la topografía del infarto.
- Regresión logística multivariante para el análisis de predictores.
Principales resultados:
- La prevalencia de cefalea aguda atribuida a accidente cerebrovascular isquémico fue del 23 % (35/153 pacientes).
- La cefalea fue comúnmente leve, opresiva/constrictiva, bilateral o ipsilateral y temporal.
- Los predictores independientes incluyeron sexo femenino, aterosclerosis de grandes arterias e infarto del núcleo lenticular.
Conclusiones:
- Casi el 25 % de los pacientes con accidente cerebrovascular isquémico experimentan cefalea aguda.
- La cefalea es a menudo leve, de tipo tensional, bilateral o ipsilateral y temporal.
- El sexo femenino, la aterosclerosis de grandes arterias y el infarto del núcleo lenticular son factores de riesgo significativos.
Palabras clave:
CefaleaAterosclerosis intracranealAccidente cerebrovascular isquémicoNúcleo lenticularPrevalenciaFactores de riesgoMás Videos Relacionados
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