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Abstract Details

Clinical Features of Headaches in Ischemic Stroke. A Mexican Series.
Cerebrovascular Disease and Interventional Neurology
P10 - Poster Session 10 (5:30 PM-6:30 PM)
4-010
Communicate the clinical characteristics of headaches in acute ischemic strokes from a Mexican population.

Headaches in ischemic strokes have been reported between 8–34%. The clinical description varies in the different series. Generally it has been accepted that posterior circulation strokes have more headaches and lacunar strokes less. Previous studies have found the headaches in stroke to be more similar to tension-type headache. As far as we know, in spite of different stroke series in Mexico, none has studied, “ad hoc”, the headaches.
iReNe (i-Registro Neurovascular) is a database that gathers information on acute stroke in our institution. The results of September-2018 to September-2019, are presented. The data were collected prospectively, in all consecutive patients hospitalized with the diagnosis of acute ischemic stroke. All patients had a complete clinical evaluation, with special attention to headache features, as well as a neurovascular workup. If the patient was aphasic, information from the relatives was collected. The data are presented with descriptive statistics.
There were 282 patients with ischemic stroke. 45(15.9%) had headache. Only 4(8.8%) had previous history of headache. Headache as the first symptom was in 21(46.6%). The pain was oppressive or shooting in 13 cases each (28%). Immediate zenit presented 16(35.5%), and in 6 min–4 hours in 9(20%). Bilateral location presented in 29(64.4%). Accompanying symptoms were present in 32(71%), with nausea in 21(46%). The TOAST classification was: atherosclerotic 15(33.3%), undetermined 17(37.7%). There was no correlation between the headache and stroke location.
Our series is the first of its kind in México. Most of the headaches began with the stroke onset. There was no characteristic clinical profile or topographic correlation with stroke. Nor we found differences in the incidence of headaches in the anterior or posterior circulation. We conclude that headache is not unusual but, in this series, it adds no localization value.
Authors/Disclosures
Alejandro R. Marfil-Rivera, MD (Hospital Universitario, Servicio De Neurologia)
PRESENTER 		Dr. Marfil-Rivera has nothing to disclose.
Juan F. Gongora Rivera, MD, MD, MSc, PhD (Neurology and Stroke Unit, University Hospital UANL) Dr. Gongora Rivera has nothing to disclose.
Luis Fernandez (Neurology, University Hospital UANL) No disclosure on file
No disclosure on file
No disclosure on file