Cited 3 times in
Factors Associated with Incidental Neuroimaging Abnormalities in New Primary Headache Patients
DC Field | Value | Language |
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dc.contributor.author | 주민경 | - |
dc.date.accessioned | 2021-01-19T08:09:20Z | - |
dc.date.available | 2021-01-19T08:09:20Z | - |
dc.date.issued | 2020-04 | - |
dc.identifier.issn | 1738-6586 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/181483 | - |
dc.description.abstract | Background and purpose: Deciding whether or not to perform neuroimaging in primary headache is a dilemma for headache physicians. The aim of this study was to identify clinical predictors of incidental neuroimaging abnormalities in new patients with primary headache disorders. Methods: This cross-sectional study was based on a prospective multicenter headache registry, and it classified 1,627 consecutive first-visit headache patients according to the third edition (beta version) of the International Classification of Headache Disorders (ICHD-3β). Primary headache patients who underwent neuroimaging were finally enrolled in the analysis. Serious intracranial pathology was defined as serious neuroimaging abnormalities with a high degree of medical urgency. Univariable and multivariable logistic regression analyses were conducted to identify factors associated with incidental neuroimaging abnormalities. Results: Neuroimaging abnormalities were present in 170 (18.3%) of 927 eligible patients. In multivariable analysis, age ≥40 years [multivariable-adjusted odds ratio (aOR)=3.37, 95% CI=2.07-6.83], male sex (aOR=1.61, 95% CI=1.12-2.32), and age ≥50 years at headache onset (aOR=1.86, 95% CI=1.24-2.78) were associated with neuroimaging abnormalities. In univariable analyses, age ≥40 years was the only independent variable associated with serious neuroimaging abnormalities (OR=3.37, 95% CI=1.17-9.66), which were found in 34 patients (3.6%). These associations did not change after further adjustment for neuroimaging modality. Conclusions: Incidental neuroimaging abnormalities were common and varied in a primary headache diagnosis. A small proportion of the patients incidentally had serious neuroimaging abnormalities, and they were predicted by age ≥40 years. These findings can be used to guide the performing of neuroimaging in primary headache disorders. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Korean Neurological Association | - |
dc.relation.isPartOf | JOURNAL OF CLINICAL NEUROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Factors Associated with Incidental Neuroimaging Abnormalities in New Primary Headache Patients | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurology (신경과학교실) | - |
dc.contributor.googleauthor | Byung Su Kim | - |
dc.contributor.googleauthor | Soo Kyoung Kim | - |
dc.contributor.googleauthor | Jae Moon Kim | - |
dc.contributor.googleauthor | Heui Soo Moon | - |
dc.contributor.googleauthor | Kwang Yeol Park | - |
dc.contributor.googleauthor | Jeong Wook Park | - |
dc.contributor.googleauthor | Jong Hee Sohn | - |
dc.contributor.googleauthor | Tae Jin Song | - |
dc.contributor.googleauthor | Min Kyung Chu | - |
dc.contributor.googleauthor | Myoung Jin Cha | - |
dc.contributor.googleauthor | Byung Kun Kim | - |
dc.contributor.googleauthor | Soo Jin Cho | - |
dc.identifier.doi | 10.3988/jcn.2020.16.2.222 | - |
dc.contributor.localId | A03950 | - |
dc.relation.journalcode | J01327 | - |
dc.identifier.eissn | 2005-5013 | - |
dc.identifier.pmid | 32319238 | - |
dc.subject.keyword | headache | - |
dc.subject.keyword | logistic models | - |
dc.subject.keyword | magnetic resonance imaging | - |
dc.subject.keyword | neuroimaging | - |
dc.subject.keyword | primary headache disorders | - |
dc.contributor.alternativeName | Chu, Min Kyung | - |
dc.contributor.affiliatedAuthor | 주민경 | - |
dc.citation.volume | 16 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 222 | - |
dc.citation.endPage | 229 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CLINICAL NEUROLOGY, Vol.16(2) : 222-229, 2020-04 | - |
dc.identifier.rimsid | 67508 | - |
dc.type.rims | ART | - |
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