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Volume : 23 Issue : 3 Year : 2017

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Headache like subarachnoid hemorrhage after digital substraction angiography: Case report [Turk J Neurol]
Turk J Neurol. Ahead of Print: TJN-07088

Headache like subarachnoid hemorrhage after digital substraction angiography: Case report

Fettah Eren1, Ahmet Hakan Ekmekci1, Hakan Karabağlı2, Şerefnur Öztürk1
1Department Of Neurology, Selcuk University, Konya, Turkey
2Department Of Neurosurgery, Selcuk University, Konya, Turkey

Subarachnoid hemorrhage (SAH) is a clinical condition with acute onset, sudden and severe headache. In addition to headache, severe nausea, vomiting, dizziness, confusion, agitation, focal neurological deficits and hypertension can be detected. Findings of meningeal irritation can be added to this clinical event 6-24 hours after the bleeding. Digital subtraction angiography (DSA) is used for surgical or endovascular treatment planning in order to identify vascular abnormalities, in addition to other imaging studies. After DSA procedure, neurological complications can be seen between 0.2% and 4.5%. Headache may occur after DSA procedure average of 50% patient. This rate is especially higher in female patients. Pain can often be included in the class of migraine, tension, or postoperative atypical headaches. The incidence of severe headache after DSA is low. Vascular wall rupture should be considered first in severe headache after the procedure. It should also be kept in mind that after all other secondary causes are excluded, SAK-like headaches after DSA can be detected.

Keywords: Headache, Subarachnoid hemorrhage, Digital subtraction angiography




Corresponding Author: Fettah Eren, Türkiye


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