Sentinel headache as a warning symptom of ischemic stroke

The Journal of Headache and Pain
Elena R LebedevaJes Olesen

Abstract

There are no previous controlled studies of sentinel headache in ischemic stroke. The purpose of the present study was to evaluate the presence of such headache, its characteristics and possible risk factors as compared to a simultaneous control group. Eligible patients (n = 550) had first-ever acute ischemic stroke with presence of new infarction on magnetic resonance imaging with diffusion-weighted imaging (n = 469) or on computed tomography (n = 81). As a control group we studied in parallel patients (n = 192) who were admitted to the emergency room without acute neurological deficits or serious neurological or somatic disorders. Consecutive patients with stroke and a simultaneous control group were extensively interviewed soon after admission using validated neurologist conducted semi-structured interview forms. Based on our previous study of sentinel headache in transient ischemic attacks we defined sentinel headache as a new type of headache or a previous kind of headache with altered characteristics (severe intensity, increased frequency, absence of effect of drugs) within seven days before stroke. Among 550 patients with stroke 94 patients (17.1%) had headache during seven days before stroke and 12 (6.2%) controls (p < ...Continue Reading

References

Nov 1, 1986·Neurology·P B GorelickP Langenberg
May 1, 1981·Stroke; a Journal of Cerebral Circulation·S H AuerbachH L Levine
Feb 2, 2013·Surgical Neurology International·Júlio Leonardo Barbosa PereiraAtos Alves de Sousa
Dec 3, 2014·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Ashish SharmaAnupriya Sharma
Jul 29, 2018·The Journal of Headache and Pain·Elena R LebedevaJes Olesen

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Citations

Dec 18, 2020·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Elena R LebedevaJes Olesen
Sep 8, 2021·Frontiers in Neurology·Florian RimmeleTim P Jürgens
Sep 13, 2021·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Keon-Joo LeeJoohon Sung
Sep 24, 2021·Expert Review of Neurotherapeutics·Sophie Dorsey, Fayyaz Ahmed

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