Analysis of risk factors associated with cerebral angiography headache

• Published in: Arquivos de neuro-psiquiatria Vol. 81; no. 4; pp. 334 - 339
• Main Authors: Madeira, Tiago, Correa, Amanda Viguini Tolentino, Abranches, Gabriela de Paula, Masruha, Marcelo Rodrigues
• Format: Journal Article
• Language: English
• Published: Germany Thieme Revinter Publicações Ltda 01.04.2023; Academia Brasileira de Neurologia - ABNEURO; Academia Brasileira de Neurologia (ABNEURO)
• Subjects: Cerebral Angiography; Cross-Sectional Studies; Female; headache; Headache - diagnostic imaging; Headache - epidemiology; Headache - etiology; headache disorders; headache disorders, secondary; Humans; Male; Middle Aged; migraine disorders; Migraine Disorders - diagnostic imaging; NEUROSCIENCES; Original; PSYCHIATRY; Risk Factors; Headache Disorders, Secondary; Headache; Cefaleias Secundárias; Cerebral Angiography; Angiografia Cerebral; Migraine Disorders; Cefaleia; Headache Disorders; Transtornos de Enxaqueca; Transtornos da Cefaleia
• ISSN: 0004-282X; 1678-4227; 1678-4227
• DOI: 10.1055/s-0043-1768157

Despite previous studies indicating a moderate/high incidence of angiography headache (AH), there is still limited data about the risk factors associated with its occurrence. The present study aimed to assess the associations among demographic, clinical, and technical characteristics of cerebral digital subtraction angiography (DSA) and the occurrence of AH. Cross-sectional analytical observational study with a sample comprised of individuals with a recommendation for elective DSA. Clinical interviews were conducted to assess the occurrence of AH, using a standardized questionnaire. Among 114 subjects, the mean age was 52.8 (±13.8) years old, 75.4% (86/114) were women, 29.8% (34/114) had a history of migraines, and 10.5% (12/114) had chronic headaches. The overall frequency of AH was 45.6% (52/114). Of those, 88.4% (46/52) underwent 3D angiography, 7.7% (4/52) underwent aortography, and 1.9% (1/52) underwent both procedures. There was a statistically significant association between AH and previous history of migraine (odds ratio [OR]: 4.9; 95% confidence interval [CI] 1.62-14.7;  = 0.005) and 3D angiography (OR 6.62; 95%CI: 2.04-21.5;  = 0.002). 3D angiography is strongly associated with the occurrence of AH, which has never been reported before. The association between a previous history of migraine and AH confirms the results of previous studies.