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e-Article

Long‐term headache after spontaneous intracerebral haemorrhage.
Document Type
Article
Source
European Journal of Neurology. May2024, Vol. 31 Issue 5, p1-5. 5p.
Subject
*CEREBRAL hemorrhage
*HEADACHE
*INTRACEREBRAL hematoma
*ODDS ratio
*MENTAL depression
Language
ISSN
1351-5101
Abstract
Background: Though headache is commonly observed after stroke and may affect survivors' quality of life, it has rarely been studied after spontaneous intracerebral haemorrhage (ICH). In a cohort of ICH survivors, we assessed the long‐term prevalence and determinants of headache. Methods: We screened consecutive ICH survivors enrolled in the prospective, single‐centre Prognosis of Intracerebral Haemorrhage study for headache 1, 3, and 6 years after ICH, according to the International Headache Society's criteria. Depressive and anxiety symptoms severity was measured at 1‐year follow‐up. Variables associated with the presence of headache 1 year after ICH were analyzed using univariate and multivariable models. Results: Among the 146 patients included in this study, 31 (21%), 25 (19%), and 14 (20%) patients reported headache at 1‐, 3‐, and 6‐year follow‐up, respectively. In an age‐adjusted model, patients with headache at ICH onset (adjusted odds ratio [aOR] 2.75; 95% CI 1.02–7.42) and previous history of headache (aOR 4.60; 95% CI 1.74–12.1) were associated with headache at 1‐year follow‐up. Patients with headache were more likely to report depressive and anxiety symptoms at 1‐year follow‐up (both p < 0.02). Conclusions: One in five ICH survivors suffered from headache and patients who reported headache at ICH onset were especially at risk. [ABSTRACT FROM AUTHOR]