Progression of sentinel headache in patients in the acute stage of stroke and its association with prognosis
10.19845/j.cnki.zfysjjbzz.2025.0113
- VernacularTitle:前哨性头痛在卒中患者急性期的发展演变及预后关系的研究
- Author:
Guogang LUO
1
,
2
,
3
;
Meng WEI
1
,
2
,
3
Author Information
1. The First Affiliated Hospital of Xi&rsquo
2. an Jiaotong University， Xi&rsquo
3. an 710054， China
- Publication Type:Journal Article
- Keywords:
Stroke;
Sentinel headache;
Cerebral vascular disease;
Clinical characteristics;
Prognosis
- MeSH:
Stroke;
Prognosis
- From:
Journal of Apoplexy and Nervous Diseases
2025;42(7):594-599
- CountryChina
- Language:Chinese
-
Abstract:
Objective Sentinel headache（SH） refers to new-onset headache or existing headache with altered characteristics that occurs within seven days before stroke in patients， and this study aims to investigate the incidence rate and clinical features of SH in stroke patients and its association with prognosis. Methods A total of 145 stroke patients who were admitted to Department of Neurology， The First Affiliated Hospital of Xi’an Jiaotong University， from August 2022 to April 2023 were enrolled based on inclusion/exclusion criteria， and general information was collected. According to the presence or absence of SH， they were divided into headache and control group. The features of SH were summarized， and follow-up was performed after 1 year to analyze the association between SH and prognosis. Results Among the 145 patients with stroke，30（20.7%） developed SH， with the subtypes of intracerebral hemorrhage（9 patients， 25.7%）， cerebral infarction （15 patients，18.9%）， transient ischemic attack（3 patients，14.3%）， and subarachnoid hemorrhage （3 patients， 30.0%）. Conclusion SH may occur in all stroke patients， with a prevalence rate of 20.7%. The manifestations of SH include migraine-like headache， tension-type headache， and cluster-like headache. The results of this study do not establish an association between SH and 1-year prognosis in stroke patients，and further studies are needed in the future.
- Full text:2025081113093192059前哨性头痛在卒中患者急性期的发展演变及预后关系的研究.pdf
