Headache improvement after intracranial endovascular procedures in Chinese patients with unruptured intracranial aneurysm: A prospective observational study.
The aim of this study was to investigate whether there is a long-term improvement in headache of patients with unruptured intracranial aneurysms (UIAs) treated with intracranial endovascular procedures.Using a prospective design, consecutive patients with UIAs with neuroendovascular treatment from January 2014 to December 2014 were asked to participate. Headache outcomes were established before aneurysm treatment and for 6 months following treatment. Factors associated with different headache outcomes were investigated.Ultimately, 58 patients completed the 6-month follow-up. In total, 29 patients had preoperative headache. Six months after the intracranial endovascular procedure, 13 patients (44.8%) stated that their headaches were relieved after endovascular treatment; headache in 1 patient improved slightly, and 12 reported disappearance of headache and marked improvement. Overall, the mean headache scores of 29 patients improved on the self-reported Numeric Rating Scale (NRS) after endovascular treatment (6.00 vs. 2.30; P < 0.001). Patients with pretreatment tension-type headache, more severe headaches, stent-assisted coiling, and stent implantation of the aneurysm were the important disadvantage for patients in improvement of post-procedure headache.Treatment of UIAs resulted in relief of headaches in about half of patients who had headaches pre-operatively.
Department of Neurology, Chinese PLA General Hospital, Beijing, PR China Department of Neurology, the First Hospital Affiliated to the Chinese PLA General Hospital, Beijing, PR China Department of Neurology, Hainan Branch of Chinese PLA General Hospital, Sanya, PR China.
Linjing
L
Zhang
Yunxia
Y
Wang
Qingkui
Q
Zhang
Wei
W
Ge
Xiancong
X
Wu
Hai
H
Di
Jun
J
Wang
Xiangyu
X
Cao
Baomin
B
Li
Ruozhuo
R
Liu
Shengyuan
S
Yu
D000328:Adult; D000368:Aged; D002681:China; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006261:Headache / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies