کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
5502737 1400167 2017 3 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله
Clinical Short CommunicationThe initial time-course of headache in patients with spontaneous subarachnoid hemorrhage
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی سالمندی
پیش نمایش صفحه اول مقاله
Clinical Short CommunicationThe initial time-course of headache in patients with spontaneous subarachnoid hemorrhage
چکیده انگلیسی


- In patients with spontaneous subarachnoid hemorrhage treated with analgesics, headache duration can be very short
- In neurologically intact patients with SAH, headache disappeared in ≈ 5% < 24 h after ictus and in ≈ 10% at 48 h
- Earliest notification of absence of headache was 10 hours after ictus.

BackgroundIf acute severe headache disappears early after its onset, the question arises whether subarachnoid hemorrhage (SAH) should still be ruled out. We studied the initial time-course and minimal duration of headache in a consecutive series of neurologically intact patients with spontaneous SAH.MethodsWe included patients admitted between 2012 and 2015 within 48 h after spontaneous SAH with a normal level of consciousness and no focal deficits. We retrieved data on headache severity, measured with a Numeric Rating Scale (NRS), < 48 h after ictus. We analyzed the proportion of patients with a first NRS 0 and NRS < 3 within 48 h after ictus and minimal headache duration. Patients were censored in case of a decrease in level of consciousness, aneurysm treatment, or early discharge.ResultsWe included 106 patients (62 aneurysmal SAH, 33 perimesencephalic hemorrhage, 11 other spontaneous SAH). All patients were treated with analgesics. Within 48 h after ictus, a first NRS 0 was reported by 9 patients (8%;95%CI:3%-14%) and a first NRS < 3 by 22 patients (21%;95%CI:13%-28%). Shortest time lapse until NRS 0 was 10 h in a patient with aneurysmal SAH who had been on acetaminophen and tramadol since 2:35 h after ictus.ConclusionsIn a cohort of SAH patients with a normal level of consciousness and no focal deficits who all used analgetics, headache disappeared in around 10% within 48 h after ictus. Our data indicate that a diagnostic work-up for SAH is also needed in patients using analgesics in whom headache has disappeared after 10 h.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the Neurological Sciences - Volume 379, 15 August 2017, Pages 55-57
نویسندگان
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