Separate group analysis of SAH patients (N = 30) identified younger age (55.3 vs. 68.9, P = 0.034) and lower average contrast dye iodine concentration (327.6 vs. 357.1, P = 0.033) to relate to headache occurrence in these patients. Headache After Cerebral Angiography: Frequency, Predisposing Factors, and Predictors of Recovery . Seven patients had less than a total of four attacks; the remaining had 20.7 ± 33.6 episodes monthly, ranging from one every 2 months to five daily attacks. Discussion Accepted for publication Feb 1, 1992. Cerebral aneurysm should be considered in the differential diagnosis of cough headache syndrome. You didn't tell us: what type of angiogram this was. please contact the Rights and However if the discomfort continues and is similar to your angina pain, use your GTN medicine as prescribed. Although the prevalence of headache decreases after age … Immediately after the angiogram, the patient's headache subsided, without prescription of analgesics. I did have a stronger headache than normal for several days after the test. The angiogram of one patient had unilateral increased vascularity consistent with cerebral hyperperfusion (Fig. Patients present with a sudden onset of headache, vomiting, seizures, and focal neurological deficit. There is segmental narrowing of the suprasellar portion of the internal carotid artery with diffuse vasoconstriction of all the intracranial vessels. All the patients stayed in the hospital for ≥24 hours after DSA. Cerebral angiography can help diagnose: aneurysm A cerebral angiogram is an image that can help your doctor find blockages or any kind of abnormalities in the blood vessels of your neck and your head. One study designed to identify post-angiography headache used a small sample of cerebrovascular patients and reported 33% incidence of post-angiography headache. Received Nov 22, 1991, and in revised form Jan 29, 1992. A cerebral angiogram can reveal detailed information about the brain’s blood vessels and blood flow. Cerebral angiography is a diagnostic test that uses an x ray. We report 35.4% incidence of headaches 24 h after angiography (excluding SAH patients) in agreement with published data [5]. Headache occurrence was analyzed against headache history, clinical data, technical and demographical variables. Headaches in older adults are less common than in younger persons, but they are still a cause for concern. Rights and Two days after the cerebral angiogram, the patient's headache disappeared and speech disturbance gradually improved. 3). volume 9, pages327–330(2008)Cite this article. In cerebral angiography, a thin plastic tube called a catheter is inserted into an artery in the leg or arm through a small incision in the skin. In opposition previous data [5], we did not find a relation neither with previous headaches nor migraine. CAS  This article is published under an open access license. Half of patients undergoing routine angiography experience benign post-procedure headaches within 24 h (especially women), yet it does not seem to predispose to chronic long-term headaches. Please check the 'Copyright Information' section either on this page or in the PDF diagnosis. versial. Headache developed after DSA in 154 (55.6%) patients. Talk to our Chatbot to narrow down your search. Headache was classified as migraine (12), tension-type headache (20) and secondary (8) with positive correlation (P = 0.008) to the same previous headache diagnosis. REFERENCES Beckman R, Nijssen PC, van Rooij WJ & Wijnalda D (2001) Migraine with aura after intracranial endovascular procedures. This study also addressed the predisposing factors that facilitate headache recovery. One to 5 days after the procedure, an author blinded to previous history applied an identical interview to each patient and registered current clinical status; the same evaluation was made 3–8 months later, by telephone. In our series, post-procedure migraine was rare (three patients). Female gender (P = 0.013, RR 2.50, 95% CI 1.34–4.68) and diagnosis of aneurysm or SAH (P = 0.022, RR 2.16, 95% CI 1.41–3.33) were risk factors for post-procedure headaches. Data suggests a relation to previous headaches (migraine in particular) so probably it is just a reflection of its recurrent pattern. Cerebral Angiogram Abnormal & Excruciating Headache Symptom Checker: Possible causes include Cerebral Hemorrhage. Cephalalgia 24(Suppl 1):1–160, Rasmussen BK, Olesen J (1992) Symptomatic and nonsymptomatic headaches in a general population. In most cases involving the cerebral blood vessels these are present from birth and are asymptomatic and unrelated to migraine or other headaches. The full text of this article hosted at iucr.org is unavailable due to technical difficulties. The purpose of this study was to evaluate the incidence and risk factors of headache after cerebral angiography. 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