Persistent Headache after Supratentorial Craniotomy

Abstract

Although the incidence of persistent head pain after supratentorial craniotomy is lower than that reported for posterior fossa procedures, the incidence is not trivial. The cause of persistent pain deserves further investigation.

Acute and chronic pain following craniotomy: a review

“…Persistent headache following craniotomy [37] (in particular base of skull surgery) has long been recognised, and several studies [40–42] have highlighted its importance. There is, however, a paucity of data regarding persistent headache after supratentorial craniotomy [43]. Headache is most often described as tension type, with episodic acute exacerbations mimicking migraine.…”

“…Kaur et al . [43] published a study of 145 patients who underwent anterior temporal lobectomies for intractable epilepsy over a 9‐year period. To eliminate confounding causes of headache, all patients studied were seizure‐free, none had progressive mass lesions or persisting vascular anomalies, and none had major complications of surgery.…”

Post-Craniotomy Headache: Characteristics, Behaviour and Effect on Quality of Life in Patients Operated for Treatment of Supratentorial Intracranial Aneurysms

“…Gee et al, in a retrospective study, have reported a PCH incidence of 19% after craniotomies performed for treatment of several diseases such as brain tumours, epilepsy and intracranial haemorrhage (6). Kaur et al have reported an incidence of 17.5% of headaches that persisted for > 2 months and of 11.9% for > 1 year after temporal lobectomy for the treatment of epilepsy, considering only headaches with pain localized on the injury site, or headaches of a different type from those of the preoperative period (7).…”

Cefaleia pós-traumática crônica: relato de caso

“…Cefaleia crônica resultante de trauma craniano tem sido amplamente estudada [3][4][5] . A relação causa e efeito entre a lesão e a cefaleia é baseado no aparecimento da dor em um período imediatamente após o evento.…”