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The Course of Headache in Patients With Moderate-to-Severe Headache Due to Aneurysmal Subarachnoid Hemorrhage: A Retrospective Cross-Sectional Study.

DC Field Value Language
dc.contributor.authorHong, CK-
dc.contributor.authorJoo, JY-
dc.contributor.authorKim, YB-
dc.contributor.authorShim, YS-
dc.contributor.authorLim, YC-
dc.contributor.authorShin, YS-
dc.contributor.authorChung, J-
dc.date.accessioned2017-03-30-
dc.date.available2017-03-30-
dc.date.issued2015-
dc.identifier.issn0017-8748-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/13693-
dc.description.abstractOBJECTIVES: The purpose of this study was to evaluate the course of headache in patients with moderate-to-severe headache due to aneurysmal subarachnoid hemorrhage (aSAH) and to identify its predisposing factors.

BACKGROUND: Little is known about the long-term course of headache in patients with aSAH.

METHODS: Since September 2009, patients with aSAH have had their headaches prospectively rated using a numeric rating scale (NRS). From this database containing 838 patients, 217 were included and all included patients met the following criteria: (1) presence of ruptured intracranial aneurysms on computed tomography angiography or magnetic resonance angiography; (2) alert consciousness (Glasgow Coma Scale 15); (3) newly onset moderate-to-severe headache (NRS ≥ 4) due to ruptured intracranial aneurysms; and (4) good clinical outcome at discharge (modified Rankin Scale 0, 1, or 2). We observed the changes in NRS scores from initial to 12-month follow-up and identified the predisposing factors of NRS changes.

RESULTS: Of the 217 patients, 182 (83.9%) experienced improvement in NRS score ≤ 3 upon discharge. The NRS scores at discharge were significantly lower than those on admission (P < .001). The independent predisposing factors for headache improvement included previous stroke (odds ratio [OR] = 0.141; 95% CI 0.051-0.381; P < .001), previous headache treated with medication (OR = 0.079; 95% CI 0.010-0.518; P = .008), and endovascular treatment (EVT; OR = 2.531; 95% CI 1.141-5.912; P = .026). The NRS scores tended to decrease continuously until the 12-month follow-up. EVT and symptomatic vasospasm were independently associated with a decrease of NRS in the follow-up periods.

CONCLUSIONS: The course of headache in patients with aSAH continuously improved during the 12 months of follow-up. Headache improvement might be expected in patients who were treated with EVT and in those who did not have previous stroke or headache.
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dc.language.isoen-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAneurysm, Ruptured-
dc.subject.MESHCerebral Angiography-
dc.subject.MESHCross-Sectional Studies-
dc.subject.MESHEndovascular Procedures-
dc.subject.MESHFemale-
dc.subject.MESHHeadache-
dc.subject.MESHHumans-
dc.subject.MESHIntracranial Aneurysm-
dc.subject.MESHMagnetic Resonance Angiography-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOdds Ratio-
dc.subject.MESHPain Measurement-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStroke-
dc.subject.MESHSubarachnoid Hemorrhage-
dc.subject.MESHYoung Adult-
dc.titleThe Course of Headache in Patients With Moderate-to-Severe Headache Due to Aneurysmal Subarachnoid Hemorrhage: A Retrospective Cross-Sectional Study.-
dc.typeArticle-
dc.identifier.pmid26129830-
dc.contributor.affiliatedAuthor임, 용철-
dc.type.localJournal Papers-
dc.identifier.doi10.1111/head.12612-
dc.citation.titleHeadache-
dc.citation.volume55-
dc.citation.number7-
dc.citation.date2015-
dc.citation.startPage992-
dc.citation.endPage999-
dc.identifier.bibliographicCitationHeadache, 55(7). : 992-999, 2015-
dc.identifier.eissn1526-4610-
dc.relation.journalidJ000178748-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
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