Headache Associated with Dialysis: the International Headache Society Criteria Revisited

Antoniazzi, AL; Bigal, ME; Bordini, CA

doi:10.1046/j.1468-2982.2003.00510.x

Cited by 40 publications

(38 citation statements)

References 12 publications

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“…A similar percentage was found by Antoniazzi et al [9][10] (62%). However, when only the individuals with HDH were assessed, only 27.3% of them reported their attacks during that period.…”

supporting

confidence: 89%

“…like Antoniazzi et al 9,10 , the present work also observed patients who reported having had headache attacks between sessions, despite their history of no primary headaches. This finding suggests a possible relationship with the HD, which could allow for classification of such attacks as secondary headaches 10 .…”

supporting

confidence: 77%

“…According to Antoniazzi et al 10 , 40.7% in this group reported a dramatic improvement in their headaches after beginning HD. In our study, 33.87% in this subset obtained a decrease of at least 80% in the frequency of the attacks, excluding the attacks during the HD 4 .…”

Section: Discussionmentioning

confidence: 83%

“…Antoniazzi et al 10 , after evaluating 123 individuals, found 50 patients who reported the same complaint 4 .…”

Section: Discussionmentioning

confidence: 99%

“…This could explain, in part, the low frequency of HDH (6.7%) in our study. According to Antoniazzi et al 9,10 , 34 patients received a diagnosis of HDH, including individuals with a history of primary head- …”

Section: Discussionmentioning

confidence: 99%

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Clinical description of hemodialysis headache in end-stage renal disease patients

Jesus

Oliveira

Paixão

et al. 2009

Arq. Neuro-Psiquiatr.

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-Background: Hemodialysis (HD)-related headaches are a common complaint of patients undergoing this procedure. Objective: To determine the frequency and clinical characteristics of headache in patients undergoing HD and to discuss their diagnostic criteria. Method: The present study assessed, in a prospective manner, a series of patients consulting at a HD center in Aracaju, Sergipe, Brazil, from November 2007 to January 2008. Only patients with HD-related headaches without previous history of primary headache were diagnosed as isolated HD headache (HDH). Results: Headache was reported by 76.1% of the patients studied. Prior to beginning dialysis, 47.9% had migraine without aura, 6.7% migraine with aura, 0.6% hemiplegic migraine, 5% episodic tension-type headache, and 2.5% migraine and tension-type headache. HDH was diagnosed in 6.7% of the patients, the most prevalent features being diffuse or temporal region location, bilateral headache, throbbing nature, and moderate severity. Seven patients with headaches between the sessions were not classified. Conclusion: While the pathophysiology of HDH is unknown, to diagnose patients with HDH or other possible HD-related headaches remains a challenge.Key WOrDS: hemodialysis headache, end-stage renal, clinical description, diagnostic criteria. Caracterização clínica da cefaléia da diálise em pacientes renais crônicosResumo -Cefaléias relacionadas ao programa de hemodiálise é uma queixa comum. Objetivo: Determinar freqüência e características clínicas das cefaléias em pacientes em regime de hemodiálise e discutir critérios diagnósticos. Método: Foi feita uma avaliação clínica prospectiva de pacientes cefalêicos em um serviço de hemodiálise em Aracaju, Sergipe, Brasil, de novembro de 2007 a janeiro de 2008. Apenas pacientes sem antecedente de cefaléia primária receberam diagnóstico de cefaléia da diálise isolada. Resultados: Cefaléia esteve presente em 76,1% dos pacientes estudados. Como antecedente de cefaléia, 47,9% tinham migrânea sem aura, 6,7% migrânea com aura, 0,6% migrânea hemiplégica, 5,5% cefaléia tensional episódica, e 2,5% associação de migrânea e cefaléia tensional. A cefaléia da diálise isolada foi diagnosticada em 6,7% dos pacientes e as localizações difusas e temporais, cefaléia bilateral, pulsátil, e intensidade moderada foram as características mais prevalentes. Conclusão: enquanto a fisiopatologia da cefaléia da diálise for desconhecida, o diagnostico da cefaléia da diálise ou de outras possíveis cefaléias relacionadas à diálise permanecerá um desafio.PAlAvrAS-CHAve: cefaléia da diálise, insuficiência renal terminal, características clínicas, critérios diagnósticos.

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“…A similar percentage was found by Antoniazzi et al [9][10] (62%). However, when only the individuals with HDH were assessed, only 27.3% of them reported their attacks during that period.…”

supporting

confidence: 89%

supporting

confidence: 77%

Section: Discussionmentioning

confidence: 83%

“…Antoniazzi et al 10 , after evaluating 123 individuals, found 50 patients who reported the same complaint 4 .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical description of hemodialysis headache in end-stage renal disease patients

Jesus

Oliveira

Paixão

et al. 2009

Arq. Neuro-Psiquiatr.

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Reinisch

Schankin

Felbinger

et al. 2008

Schmerz

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Chronic headache is still a frequent problem in old age, affecting about 10% of all women and 5% of all men older than 70 years. The incidence of primary headache decreases with advancing age, while that of secondary headache increases. The clinical characteristics of migraine can also change with age; for example, vegetative symptoms are less prominent, and less intense migrainous pain localized predominantly in the neck is frequently reported. Migraine aura can also be experienced more frequently in isolation, without a headache. Hypnic headache is a rare primary headache syndrome that occurs almost exclusively in the elderly. Most of the secondary headache syndromes that occur more frequently in old age present clinically as tension-type headache. Examples of rather common reasons for secondary headache syndromes in the elderly are intracranial space-occupying lesions, ophthalmological problems and autoimmune diseases such as giant cell arteritis. Elderly patients are especially likely to have a number of illnesses at any one time for which they take various medications each day, so that headaches can also quite often be caused by their medication or by withdrawal of these. As a result of such multimorbidity the homeostasis is disturbed in such patients, leading to various conditions that can entail concomitant headaches (sleep apnoea syndrome, dialysis headache, headache attributed to arterial hypertension or hypothyroidism). Familiar facial neuralgias, such as trigeminal neuralgia or postherpetic neuralgia following manifest herpes zoster affecting the face, become markedly more frequent with age. In general, in the treatment of headaches in the elderly it is essential to pay careful attention to potential interactions with the multiple drugs needed because of other diseases; in addition, the comorbidities themselves have to be taken into account, especially depression, anxiety and cognitive impairment, necessitating multimodal, interdisciplinary therapy plans.

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Dialysis headache

Antoniazzi

Corrado²

2007

Current Science Inc

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We describe the various side effects occurring in dialysis sessions and indicate measures for their prevention and/or treatment. Next, we analyze dialysis headache in terms of incidence, prevalence, criteria for its inclusion in the classification of the International Headache Society, and factors related to its triggering, ie, bradykinin and nitric oxide (NO), which have increased plasma levels during dialysis. This permits a critical analysis in comparison with NO donor headache in terms of the pathophysiologic mechanisms that mediate the triggering of both conditions. A similarity is particularly detected in terms of the role of NO as the last link in the chain of events that precedes the onset of headache, which is preceded by a latency period of 3 to 4 hours, much longer than the few seconds needed to inactivate NO. A hypothesis is raised to explain this phenomenon, opening new perspectives for the study of the pathophysiology of headaches, including primary headaches.

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Headache Associated with Dialysis: the International Headache Society Criteria Revisited

Cited by 40 publications

References 12 publications

Clinical description of hemodialysis headache in end-stage renal disease patients

Clinical description of hemodialysis headache in end-stage renal disease patients

Kopfschmerzen im Alter

Dialysis headache

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