The applicability research of the diagnostic criteria for 6.7.2 angiography headache in the international classification of headache disorders-3rd edition

The Journal of Headache and Pain

Lin Wang¹  Ran Zhang¹  Shengyuan Yu²  Jun Wang²  Ruozhuo Liu²  Xiangyu Cao²  Xiaohui Ma³  Xin Jia³  Leyi Zhang⁴  Ying Yang⁴  Fanchao Meng⁴  Chenglong Lu⁴ 

[1] Department of Cardiology, the First Medical Centre of Chinese PLA General Hospital, 100853, Beijing, People’s Republic of China;Department of Neurology, the First Medical Centre of Chinese PLA General Hospital, Fuxing Road 28, Haidian District, 100853, Beijing, People’s Republic of China;Department of Vascular and Endovascular Surgery, the First Medical Centre of Chinese PLA General Hospital, 100853, Beijing, People’s Republic of China;Medical School of Chinese PLA, 100853, Beijing, People’s Republic of China;Department of Neurology, the First Medical Centre of Chinese PLA General Hospital, Fuxing Road 28, Haidian District, 100853, Beijing, People’s Republic of China;

关键词: ICHD-3;    Diagnostic criteria;    Digital subtraction angiography (DSA);    Headache;    Angiography;    Endovascular procedures;    Cerebral angiography headache;    Headache due to coronary intervention;    Headache due to extremities arterial intervention;   

DOI  :  10.1186/s10194-021-01373-w

来源: Springer

【 摘 要 】

BackgroundAngiography headache (AH) is common but not negligible, and the criteria for AH have been based on only a few studies. The purpose of this study was to investigate the incidence, risk factors and possible mechanism of AH and reappraise the diagnostic criteria for AH in the International Classification of Headache Disorders 3 (ICHD-3).MethodsTwo hundred and seventy-nine patients completed this prospective, non-randomized study, including 107 patients who underwent cerebral angiography, 101 patients who underwent coronary intervention and 71 patients who underwent extremities arterial intervention. Patients were followed up with questionnaires immediately after the procedure and 24 h, 72 h, 1 week and 2 weeks after the procedure.ResultsThe incidence of headache was 22.4% (24/107) in cerebral angiography group, 23.8% (24/101) in coronary intervention group, and 16.9% (12/71) in extremities arterial intervention group. Headache still occurred in 12.1% (13/107), 14.9% (15/101) and 11.3% (8/71) of patients 24 h after the procedure in the three groups, respectively. Two types of headache were observed in cerebral angiography group and coronary intervention group, one during and one after the procedure, while only postoperative headache was observed in extremities arterial intervention group. Previous headache history was a risk factor for headache in the three groups (p = 0.003 in cerebral angiography group, p = 0.006 in coronary intervention group, and p = 0.016 in extremities arterial intervention group). In addition, female (p = 0.008) was a risk factor for cerebral angiography group. Headache characteristics were described in detail.ConclusionsThe diagnostic criteria for 6.7.2 angiography headache in ICHD-3 may miss a number of cerebral AH with onset later than 24 h after the procedure. Therefore, it is recommended to revise it according to the literature and further studies. The incidence of headache was high during and after angiography and interventional procedure. It was suggested that the definition of headache due to coronary intervention and headache due to extremities arterial intervention should be added in ICHD.

【 授权许可】

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