A MULTIVARIATE STUDY OF HEADACHE ASSOCIATED WITH ISCHEMIC STROKE

被引:72
作者
FERRO, JM [1 ]
MELO, TP [1 ]
OLIVEIRA, V [1 ]
SALGADO, AV [1 ]
CRESPO, M [1 ]
CANHAO, P [1 ]
PINTO, AN [1 ]
机构
[1] HOSP SANTA MARIA,FAC MED,SERV NEUROL,P-1600 LISBON,PORTUGAL
来源
HEADACHE | 1995年 / 35卷 / 06期
关键词
VASCULAR HEADACHE; CEREBRAL ISCHEMIA; CEREBRAL INFARCT;
D O I
10.1111/j.1526-4610.1995.hed3506315.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Thirty-four percent of 182 ischemic stroke patients registered during 1 year in a prospective hospital stroke data base complained of headache within a 72-hour interval of stroke onset. Headache was more common in patients under 70 years of age, in nonsmokers, in those with a past history of migraine, and in subjects presenting transient loss of consciousness, nausea/vomiting, or visual field defects. Headache was more frequent in vertebrobasilar (57%) than in carotid (20%) territory strokes, more so in posterior cerebral artery (90%) and cerebellar infarcts (80%), and was infrequent in subcortical infarcts (7%) and lacunes due to single perforator disease (9%). In multiple regression analysis, vertebrobasilar stroke (odds ratio 6.9), lacunar stroke (odds ratio 0.06), and past history of migraine (odds ratio 6.7) were significant independent predictors of headache, suggesting that ischemic stroke location is the major determinant of stroke- associated headache, most probably related to activation of the trigeminovascular system, whose threshold may be modified by individual susceptibility.
引用
收藏
页码:315 / 319
页数:5
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