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Headache in Caucasian patients with Moyamoya angiopathy: a systematic cohort study

Background: Headache is common in patients with Moyanoya angiopathy (MMA), but usually underestimated in its management and not well characterized. Methods: A validated self-administered headache screening questionnaire and a telephone interview were used in order to investigate headache characteris...

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Bibliographic Details
Main Authors: Krämer, Markus (Author) , Berlit, Peter (Author)
Format: Article (Journal)
Language:English
Published: 2017
In: Cephalalgia
Year: 2016, Volume: 37, Issue: 5, Pages: 496-500
ISSN:1468-2982
DOI:10.1177/0333102416643516
Online Access:Verlag, Volltext: http://dx.doi.org/10.1177/0333102416643516
Verlag, Volltext: https://doi.org/10.1177/0333102416643516
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Author Notes:Markus Kraemer, Sie-In Lee, Ilya Ayzenberg, Jan Claudius Schwitalla, Rolf R Diehl, Peter Berlit, Bert Bosche, Zaza Katsarava and Mark Obermann

MARC

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245 1 0 |a Headache in Caucasian patients with Moyamoya angiopathy  |b a systematic cohort study  |c Markus Kraemer, Sie-In Lee, Ilya Ayzenberg, Jan Claudius Schwitalla, Rolf R Diehl, Peter Berlit, Bert Bosche, Zaza Katsarava and Mark Obermann 
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520 |a Background: Headache is common in patients with Moyanoya angiopathy (MMA), but usually underestimated in its management and not well characterized. Methods: A validated self-administered headache screening questionnaire and a telephone interview were used in order to investigate headache characteristics, frequency and pain intensity in a large cohort of 55 German patients with MMA. Results: Thirty-seven patients (67.3%) had suffered from headache in the past year. Headache intensity was rated 3.2?±?1.3 on a verbal rating scale from 0 to 10. Seventeen patients (47.9%) reported migraine-like headache, 10 patients (27.0%) reported tension type-like headache and 10 patients (27.0%) had a combination of both. The majority of patients with migraine-like headache (n?=?10, 58.8%) described migrainous aura. Headache frequency and intensity improved significantly after revascularization surgery; however, nine patients developed new-onset headache postoperatively. Conclusion: Headache is very common in MMA, often with a migraine-like phenotype. Tension type-like headache was also found in 27% of patients, which is a new finding that has not been reported before. 
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