归因于过去缺血性中风的持续性头痛:一项前性队列研究
Felipe A A de Oliveira1,2, Mario G Dourado-Filho2, Pedro A Sampaio Rocha-Filho3,4
1Postgraduate Program in Neuropsychiatry and Behavioral Sciences, Universidade Federal de Pernambuco (UFPE), Recife, Brazil.
Headache
|January 19, 2024
概括
缺血性中风后持续性头痛很常见,影响10.1%的患者. 以前的偏头痛和急性头痛强度是这种使人衰弱的中风后并发症的关键风险因素.
科学领域:
- 神经学 神经学
- 脑卒中医学 脑卒中医学
- 头痛 疾病 头痛 疾病
背景情况:
- 持续性头痛后缺血性中风是公认的,但研究不足.
- 关于其发病率,特征和风险因素的数据有限.
研究的目的:
- 为了确定缺血性中风后持续性头痛的发生率.
- 描述这种头痛类型的特征.
- 识别与其发展相关的风险因素.
主要方法:
- 119名缺血性中风患者的前性队列研究.
- 评估包括扩散权重的MRI,NIH中风量表 (NIHSS) 和头痛影响测试.
- 患者在中风1年后通过电话采访.
主要成果:
- 10.1%的患者患有因缺血性中风引起的持续性头痛.
- 偏头痛类型的模式最常见 (58.3%),在41.7%的患者中产生显著影响.
- 以前的偏头痛史 (OR 7.1) 和急性阶段头痛强度 (OR 1.75) 是显著的风险因素.
结论:
- 持续性头痛是缺血性中风后的常见并发症.
- 它显著影响患者的生活质量.
- 一种类似偏头痛的表型很常见,以先前的偏头痛和急性疼痛强度为预测因素.
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