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dc.contributor.author
Arena, Julieta E.
dc.contributor.author
Hawkes, Maximiliano A.
dc.contributor.author
Farez, Mauricio Franco
dc.contributor.author
Pertierra, Lucia
dc.contributor.author
Kohler, Alejandro A.
dc.contributor.author
Marrodán, Mariano
dc.contributor.author
Benito, Darío
dc.contributor.author
Goicochea, María T.
dc.contributor.author
Miranda, Juan C.
dc.contributor.author
Ameriso, Sebastián F.
dc.date.available
2019-03-26T19:40:30Z
dc.date.issued
2017-05
dc.identifier.citation
Arena, Julieta E.; Hawkes, Maximiliano A.; Farez, Mauricio Franco; Pertierra, Lucia; Kohler, Alejandro A.; et al.; Headache and Treatment of Unruptured Intracranial Aneurysms; Elsevier Science; Journal Of Stroke & Cerebrovascular Diseases; 26; 5; 5-2017; 1098-1103
dc.identifier.issn
1052-3057
dc.identifier.uri
http://hdl.handle.net/11336/72568
dc.description.abstract
Background and Purpose: The relationship between unruptured intracranial aneurysms (UIAs) and chronic headache and the impact of aneurysm treatment on headache outcome are controversial. The aim of this study was to determine clinical features of a supposedly primary headache in patients with UIA. We also assessed changes in headache characteristics after UIA treatment.
Methods: We examined clinical and imaging data of patients in whom a UIA was diagnosed during diagnostic workup of a suspected primary headache. Medical records were reviewed and personal telephone follow-ups were performed after UIA treatment to assess changes in the frequency and intensity of the headache.
Results: Forty-two patients (76%) reported a substantial improvement in headache frequency and intensity after UIA treatment. Forty-five patients (81%) reported a decrease in headache frequency from a median of 8 days/month before treatment to 1 day/month after treatment (95% confidence interval [CI] 81-83, P < .001). The average intensity in an analog pain scale was 7.7 ± 1.6 before treatment and 5.6 ± 2.4 after treatment (P < .001). Higher headache frequency was associated with a greater odd of improvement after treatment (odds ratio 1.12, 95% CI 1.0-1.26, P = .03). No associations were found between the type of headache, type of treatment (endovascular versus surgical), number, size, or localization of the aneurysms and the response to treatment.
Conclusions: The treatment of UIA had a robust beneficial effect on previous headache. Although a “placebo” effect of aneurysm treatment cannot be ruled out, these results suggest a potential association between UIA and certain chronic headaches usually considered to be primary.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Elsevier Science
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Endovascular Therapy
dc.subject
Headache
dc.subject
Intracranial Aneurysm
dc.subject
Therapeutics
dc.subject.classification
Medicina Critica y de Emergencia
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Medicina Clínica
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Headache and Treatment of Unruptured Intracranial Aneurysms
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2019-03-26T14:09:12Z
dc.journal.volume
26
dc.journal.number
5
dc.journal.pagination
1098-1103
dc.journal.pais
Países Bajos
dc.journal.ciudad
Amsterdam
dc.description.fil
Fil: Arena, Julieta E.. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina
dc.description.fil
Fil: Hawkes, Maximiliano A.. Mayo Clinic;
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Fil: Farez, Mauricio Franco. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina
dc.description.fil
Fil: Pertierra, Lucia. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina
dc.description.fil
Fil: Kohler, Alejandro A.. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina
dc.description.fil
Fil: Marrodán, Mariano. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina
dc.description.fil
Fil: Benito, Darío. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina
dc.description.fil
Fil: Goicochea, María T.. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina
dc.description.fil
Fil: Miranda, Juan C.. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina
dc.description.fil
Fil: Ameriso, Sebastián F.. Fundación para la Lucha Contra las Enfermedades Neurológicas de la Infancia. Instituto de Investigaciones Neurológicas "Raúl Carrea"; Argentina
dc.journal.title
Journal Of Stroke & Cerebrovascular Diseases
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2016.12.026
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S1052305716306346
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