Document Detail

Clinical description of hemodialysis headache in end-stage renal disease patients.
MedLine Citation:
PMID:  20069204     Owner:  NLM     Status:  MEDLINE    
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.
Alan Chester Feitosa de Jesus; Hélio Araújo Oliveira; Marcelo Oliveira Ribeiro Paixão; Thalyta Porto Fraga; Felipe José N Barreto; Marcelo Moraes Valença
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arquivos de neuro-psiquiatria     Volume:  67     ISSN:  1678-4227     ISO Abbreviation:  Arq Neuropsiquiatr     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-01-13     Completed Date:  2010-09-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0125444     Medline TA:  Arq Neuropsiquiatr     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  978-81     Citation Subset:  IM    
Department of Medicine, Sergipe Headache Unit, University Hospital, Federal University of Sergipe, Aracaju, SE, Brazil.
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MeSH Terms
Headache / etiology*
Kidney Failure, Chronic / therapy*
Middle Aged
Prospective Studies
Renal Dialysis / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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