Analysis of risk factors associated with cerebral angiography headache

Background Despite previous studies indicating a moderate/high incidence of angiography headache (AH), there is still limited data about the risk factors associated with its occurrence. Objective The present study aimed to assess the associations among demographic, clinical, and technical...

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Main Authors: Tiago Madeira, Amanda Viguini Tolentino Correa, Gabriela de Paula Abranches, Marcelo Rodrigues Masruha
Format: Article
Language:English
Published: Thieme Revinter Publicações 2023-04-01
Series:Arquivos de Neuro-Psiquiatria
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1768157
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author Tiago Madeira
Amanda Viguini Tolentino Correa
Gabriela de Paula Abranches
Marcelo Rodrigues Masruha
author_facet Tiago Madeira
Amanda Viguini Tolentino Correa
Gabriela de Paula Abranches
Marcelo Rodrigues Masruha
author_sort Tiago Madeira
collection DOAJ
description Background Despite previous studies indicating a moderate/high incidence of angiography headache (AH), there is still limited data about the risk factors associated with its occurrence. Objective The present study aimed to assess the associations among demographic, clinical, and technical characteristics of cerebral digital subtraction angiography (DSA) and the occurrence of AH. Methods Cross-sectional analytical observational study with a sample comprised of individuals with a recommendation for elective DSA. Clinical interviews were conducted to assess the occurrence of AH, using a standardized questionnaire. Results Among 114 subjects, the mean age was 52.8 (±13.8) years old, 75.4% (86/114) were women, 29.8% (34/114) had a history of migraines, and 10.5% (12/114) had chronic headaches. The overall frequency of AH was 45.6% (52/114). Of those, 88.4% (46/52) underwent 3D angiography, 7.7% (4/52) underwent aortography, and 1.9% (1/52) underwent both procedures. There was a statistically significant association between AH and previous history of migraine (odds ratio [OR]: 4.9; 95% confidence interval [CI] 1.62–14.7; p = 0.005) and 3D angiography (OR 6.62; 95%CI: 2.04–21.5; p = 0.002). Conclusions 3D angiography is strongly associated with the occurrence of AH, which has never been reported before. The association between a previous history of migraine and AH confirms the results of previous studies.
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spelling doaj-art-613f5a1aaa8a4b59ae277cc0a883034a2025-08-20T03:34:57ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria0004-282X1678-42272023-04-01810433433910.1055/s-0043-1768157Analysis of risk factors associated with cerebral angiography headacheTiago Madeira0Amanda Viguini Tolentino Correa1Gabriela de Paula Abranches2Marcelo Rodrigues Masruha3Universidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brazil.Hospital Santa Rita de Cássia, Departamento de Neurologia e Neurocirurgia, Vitória ES, Brazil.Hospital Santa Rita de Cássia, Departamento de Neurologia e Neurocirurgia, Vitória ES, Brazil.Universidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brazil.Background Despite previous studies indicating a moderate/high incidence of angiography headache (AH), there is still limited data about the risk factors associated with its occurrence. Objective The present study aimed to assess the associations among demographic, clinical, and technical characteristics of cerebral digital subtraction angiography (DSA) and the occurrence of AH. Methods Cross-sectional analytical observational study with a sample comprised of individuals with a recommendation for elective DSA. Clinical interviews were conducted to assess the occurrence of AH, using a standardized questionnaire. Results Among 114 subjects, the mean age was 52.8 (±13.8) years old, 75.4% (86/114) were women, 29.8% (34/114) had a history of migraines, and 10.5% (12/114) had chronic headaches. The overall frequency of AH was 45.6% (52/114). Of those, 88.4% (46/52) underwent 3D angiography, 7.7% (4/52) underwent aortography, and 1.9% (1/52) underwent both procedures. There was a statistically significant association between AH and previous history of migraine (odds ratio [OR]: 4.9; 95% confidence interval [CI] 1.62–14.7; p = 0.005) and 3D angiography (OR 6.62; 95%CI: 2.04–21.5; p = 0.002). Conclusions 3D angiography is strongly associated with the occurrence of AH, which has never been reported before. The association between a previous history of migraine and AH confirms the results of previous studies.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1768157cerebral angiographyheadachemigraine disordersheadache disorders, secondaryheadache disorders
spellingShingle Tiago Madeira
Amanda Viguini Tolentino Correa
Gabriela de Paula Abranches
Marcelo Rodrigues Masruha
Analysis of risk factors associated with cerebral angiography headache
Arquivos de Neuro-Psiquiatria
cerebral angiography
headache
migraine disorders
headache disorders, secondary
headache disorders
title Analysis of risk factors associated with cerebral angiography headache
title_full Analysis of risk factors associated with cerebral angiography headache
title_fullStr Analysis of risk factors associated with cerebral angiography headache
title_full_unstemmed Analysis of risk factors associated with cerebral angiography headache
title_short Analysis of risk factors associated with cerebral angiography headache
title_sort analysis of risk factors associated with cerebral angiography headache
topic cerebral angiography
headache
migraine disorders
headache disorders, secondary
headache disorders
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1768157
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AT amandaviguinitolentinocorrea analysisofriskfactorsassociatedwithcerebralangiographyheadache
AT gabrieladepaulaabranches analysisofriskfactorsassociatedwithcerebralangiographyheadache
AT marcelorodriguesmasruha analysisofriskfactorsassociatedwithcerebralangiographyheadache