Epidemiology of post-suboccipital craniotomy headache: A multicentre retrospective study

The detailed epidemiology and mechanism of post-craniotomy headaches are not well understood. This study aimed to establish the actual clinical incidence and causes of post-craniotomy headaches. Suboccipital craniotomy surgeries performed in six institutions within the five-year study period were in...

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Bibliographic Details
Published inJournal of perioperative practice Vol. 33; no. 7-8; p. 233
Main Authors Shibata, Yasushi, Hatayama, Toru, Matsuda, Masahide, Yamazaki, Tomosato, Komatsu, Yoji, Endo, Kiyoshi, Akutsu, Hiroyoshi
Format Journal Article
LanguageEnglish
Published England 01.07.2023
Subjects
Craniotomy - adverse effects
Craniotomy - methods
Female
Headache - epidemiology
Headache - etiology
Humans
Male
Middle Aged
Retrospective Studies
Facial spasm
Craniotomy
Microvascular decompression
Post-craniotomy headache
Suboccipital craniotomy
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Summary:The detailed epidemiology and mechanism of post-craniotomy headaches are not well understood. This study aimed to establish the actual clinical incidence and causes of post-craniotomy headaches. Suboccipital craniotomy surgeries performed in six institutions within the five-year study period were included. This study included 311 patients (138 males, 173 female; mean age, 59.3 years old). A total of 145 patients (49%) experienced post-craniotomy headaches. Microvascular decompression surgery, craniectomy and facial spasms were significant risk factors for post-craniotomy headaches. In most cases, the post-craniotomy headaches disappeared within one month; however, some patients suffered from long-term headaches. The craniotomy site and the methods of dura and skull closures should be individually determined for each patient. However, to prevent post-craniotomy headaches, craniotomy, instead of craniectomy, may be considered.
ISSN:2515-7949
DOI:10.1177/17504589221076368