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Headache in Stroke
Stroke 24:1621-1624, Vestergaard,K.,et al, 1993
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Article Abstract
Sixty-five(27%)of the 238 patients experienced headache from 3 days before to 3 days after stroke.Headache occurred in 50%of patients with intracerebral hemorrhage,in 26%with infarction,and in 15%of patients with lacunar infarction.Headache was more common when stroke occurred in posterior circulation than anterior circulation(P<.02).Fifty-six patients were able to give further information about headache characteristics.The headache in thromboembolic stroke was classified as tension-type headache (25 patients),migraine-like headache(14 patients),and other headache(12 patients).Migraine was more frequent in vertebrobasilar stroke.Headache was lateralized in 33%of cases.In patients with unilateral headache and unilateral stroke lesion,the headache was ipsilateral in 14 of 17 cases.In infarction,severity of headache showed no relation to lesion size or lesion localization.Patients with previous tension-type headache and migraine experienced reactivation of known headache equally often.(1) Headache occurs in one-fourth of patients with acute stroke.(2)Unilateral headache is usually ipsilateral to stroke lesion.(3)Headache severity is not related to size of ischemic stroke lesion.
 
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cerebral infarction
cerebrovascular accident
cerebrovascular disease
headache
headache,cerebrovascular disease causing
headache,unilateral
intracerebral hemorrhage

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