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Wiley InterScience | ||
![]() CephalalgiaVolume 28 Issue 1, Pages 41 - 48 Published Online: 6 Nov 2007 © 2009 International Headache Society Published on behalf of the International Headache Society
Abstract | References | Full Text: HTML, PDF (Size: 117K) | Related Articles | Citation Tracking Post-craniotomy headache: characteristics, behaviour and effect on quality of life in patients operated for treatment of supratentorial intracranial aneurysms Copyright Blackwell Publishing Ltd Cephalalgia, 2007 KEYWORDS Classification • craniotomy • headache • neurosurgical procedures • pain ABSTRACTRocha-Filho PAS, Gherpelli JLD, de Siqueira JTT & Rabello GD. Post-craniotomy headache: characteristics, behaviour and effect on quality of life in patients operated for treatment of supratentorial intracranial aneurysms. Cephalalgia 2008; 28:41–48. London. ISSN 0333-1024 We prospectively studied headache characteristics during 6 months after craniotomy performed for treatment of cerebral aneurysms in 79 patients. Semistructured interviews, headache diaries, the Hospital Anxiety and Depression Scale and the Epworth Sleepiness Scales, the Short Form-36 Health Survey (SF-36) and McGill Pain Questionnaire were used. Seventy-two patients had headaches, half before the fifth day after surgery. Changes were observed in headache diagnosis, side and site in the postoperative period. Headache frequency increased immediately after surgery and then decreased over time. Headache frequency was associated with depressive and anxiety symptoms. Pain intensity was higher in women and in patients with more anxiety symptoms. An incidence of post-craniotomy headache of 40% was observed according to International Headache Society classification criteria, 10.7% of the acute and 29.3% of the chronic type. The bodily pain domain of the SF-36 was worse in patients with more anxiety symptoms. Greater frequencies of headache were associated with lower scores on bodily pain and social functioning. Received 12 May 2007, accepted 23 July 2007 |