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Factors Associated with Incidental Neuroimaging Abnormalities in New Primary Headache Patients

DC FieldValueLanguage
dc.contributor.author주민경-
dc.date.accessioned2021-01-19T08:09:20Z-
dc.date.available2021-01-19T08:09:20Z-
dc.date.issued2020-04-
dc.identifier.issn1738-6586-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/181483-
dc.description.abstractBackground 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.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherKorean Neurological Association-
dc.relation.isPartOfJOURNAL OF CLINICAL NEUROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleFactors Associated with Incidental Neuroimaging Abnormalities in New Primary Headache Patients-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurology (신경과학교실)-
dc.contributor.googleauthorByung Su Kim-
dc.contributor.googleauthorSoo Kyoung Kim-
dc.contributor.googleauthorJae Moon Kim-
dc.contributor.googleauthorHeui Soo Moon-
dc.contributor.googleauthorKwang Yeol Park-
dc.contributor.googleauthorJeong Wook Park-
dc.contributor.googleauthorJong Hee Sohn-
dc.contributor.googleauthorTae Jin Song-
dc.contributor.googleauthorMin Kyung Chu-
dc.contributor.googleauthorMyoung Jin Cha-
dc.contributor.googleauthorByung Kun Kim-
dc.contributor.googleauthorSoo Jin Cho-
dc.identifier.doi10.3988/jcn.2020.16.2.222-
dc.contributor.localIdA03950-
dc.relation.journalcodeJ01327-
dc.identifier.eissn2005-5013-
dc.identifier.pmid32319238-
dc.subject.keywordheadache-
dc.subject.keywordlogistic models-
dc.subject.keywordmagnetic resonance imaging-
dc.subject.keywordneuroimaging-
dc.subject.keywordprimary headache disorders-
dc.contributor.alternativeNameChu, Min Kyung-
dc.contributor.affiliatedAuthor주민경-
dc.citation.volume16-
dc.citation.number2-
dc.citation.startPage222-
dc.citation.endPage229-
dc.identifier.bibliographicCitationJOURNAL OF CLINICAL NEUROLOGY, Vol.16(2) : 222-229, 2020-04-
dc.identifier.rimsid67508-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers

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