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The Course of Headache in Patients With Moderate-to-Severe Headache Due to Aneurysmal Subarachnoid Hemorrhage: A Retrospective Cross-Sectional Study

DC FieldValueLanguage
dc.contributor.author김용배-
dc.contributor.author정준호-
dc.contributor.author주진양-
dc.contributor.author홍창기-
dc.date.accessioned2016-02-04T11:49:15Z-
dc.date.available2016-02-04T11:49:15Z-
dc.date.issued2015-
dc.identifier.issn0017-8748-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/141277-
dc.description.abstractOBJECTIVES: The purpose of this study was to evaluate the course of headache in patients with moderate-to-severe headache due to aneurysmal subarachnoid hemorrhage (aSAH) and to identify its predisposing factors. BACKGROUND: Little is known about the long-term course of headache in patients with aSAH. METHODS: Since September 2009, patients with aSAH have had their headaches prospectively rated using a numeric rating scale (NRS). From this database containing 838 patients, 217 were included and all included patients met the following criteria: (1) presence of ruptured intracranial aneurysms on computed tomography angiography or magnetic resonance angiography; (2) alert consciousness (Glasgow Coma Scale 15); (3) newly onset moderate-to-severe headache (NRS ≥ 4) due to ruptured intracranial aneurysms; and (4) good clinical outcome at discharge (modified Rankin Scale 0, 1, or 2). We observed the changes in NRS scores from initial to 12-month follow-up and identified the predisposing factors of NRS changes. RESULTS: Of the 217 patients, 182 (83.9%) experienced improvement in NRS score ≤ 3 upon discharge. The NRS scores at discharge were significantly lower than those on admission (P < .001). The independent predisposing factors for headache improvement included previous stroke (odds ratio [OR] = 0.141; 95% CI 0.051-0.381; P < .001), previous headache treated with medication (OR = 0.079; 95% CI 0.010-0.518; P = .008), and endovascular treatment (EVT; OR = 2.531; 95% CI 1.141-5.912; P = .026). The NRS scores tended to decrease continuously until the 12-month follow-up. EVT and symptomatic vasospasm were independently associated with a decrease of NRS in the follow-up periods. CONCLUSIONS: The course of headache in patients with aSAH continuously improved during the 12 months of follow-up. Headache improvement might be expected in patients who were treated with EVT and in those who did not have previous stroke or headache.-
dc.description.statementOfResponsibilityopen-
dc.format.extent992~999-
dc.relation.isPartOfHeadache-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleThe Course of Headache in Patients With Moderate-to-Severe Headache Due to Aneurysmal Subarachnoid Hemorrhage: A Retrospective Cross-Sectional Study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학)-
dc.contributor.googleauthorChang-Ki Hong-
dc.contributor.googleauthorJin-Yang Joo-
dc.contributor.googleauthorYong Bae Kim-
dc.contributor.googleauthorYu Shik Shim-
dc.contributor.googleauthorYong Cheol Lim-
dc.contributor.googleauthorYong Sam Shin-
dc.contributor.googleauthorJoonho Chung-
dc.identifier.doi10.1111/head.12612-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03731-
dc.contributor.localIdA03959-
dc.contributor.localIdA04445-
dc.contributor.localIdA00743-
dc.relation.journalcodeJ00964-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1111/head.12612/abstract-
dc.contributor.alternativeNameKim, Yong Bae-
dc.contributor.alternativeNameChung, Joon Ho-
dc.contributor.alternativeNameJoo, Jin Yang-
dc.contributor.alternativeNameHong, Chang Ki-
dc.contributor.affiliatedAuthorChung, Joon Ho-
dc.contributor.affiliatedAuthorJoo, Jin Yang-
dc.contributor.affiliatedAuthorHong, Chang Ki-
dc.contributor.affiliatedAuthorKim, Yong Bae-
dc.rights.accessRightsnot free-
dc.citation.volume55-
dc.citation.number7-
dc.citation.startPage992-
dc.citation.endPage999-
dc.identifier.bibliographicCitationHeadache, Vol.55(7) : 992-999, 2015-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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