Headache attributed to ischemic stroke – a new scope for management: a case study

Acute ischemic stroke may present with serious clinical manifestations. Headache attributed to ischemic stroke is one of these clinical manifestations which may be neglected and affect the functional outcome of the patients. Understanding the exact pathophysiology, and recognition of the most clinic...

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Main Authors: Elsayed Abed, Ahmad Farag El-adawey, Mohamed Hamed Rashad, Ahmed Hassan Elsheshiny, Ali Mahmoud Ali, Fathy Mahmoud Mansour, Abdel-Ghaffar Fayed, Mohammad Fathi Abdulsalam, Shaimaa Sayed Khater
Format: Article
Language:English
Published: Termedia Publishing House 2024-04-01
Series:Folia Neuropathologica
Subjects:
Online Access:https://www.termedia.pl/Headache-attributed-to-ischemic-stroke-a-new-scope-for-management-a-case-study,20,54037,1,1.html
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author Elsayed Abed
Ahmad Farag El-adawey
Mohamed Hamed Rashad
Ahmed Hassan Elsheshiny
Ali Mahmoud Ali
Fathy Mahmoud Mansour
Abdel-Ghaffar Fayed
Mohammad Fathi Abdulsalam
Shaimaa Sayed Khater
author_facet Elsayed Abed
Ahmad Farag El-adawey
Mohamed Hamed Rashad
Ahmed Hassan Elsheshiny
Ali Mahmoud Ali
Fathy Mahmoud Mansour
Abdel-Ghaffar Fayed
Mohammad Fathi Abdulsalam
Shaimaa Sayed Khater
author_sort Elsayed Abed
collection DOAJ
description Acute ischemic stroke may present with serious clinical manifestations. Headache attributed to ischemic stroke is one of these clinical manifestations which may be neglected and affect the functional outcome of the patients. Understanding the exact pathophysiology, and recognition of the most clinical and radiological predictors can help to provide good management and open scope for prophylactic approaches. Here, we report a case presented with acute onset of ischemic stroke and developed a new onset headache on the first day of stroke onset. According to the International Classification of Headache Disorders third edition (ICHD-3), the patient has a post-stroke headache. Using transcranial duplex ultrasound, activation of the trigeminovascular pathway could be attributed to the opening of more pain-sensitive collateral channels as the left posterior communicating artery (P Com A). In conclusion, we can predict the development of acute headache at stroke onset based on different clinical and radiological factors. Opening of the collateral channels is strongly implicated in the production of post-stroke headache.
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issn 1641-4640
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language English
publishDate 2024-04-01
publisher Termedia Publishing House
record_format Article
series Folia Neuropathologica
spelling doaj-art-5f993273aed345d8b435456055d773bd2025-01-27T11:23:00ZengTermedia Publishing HouseFolia Neuropathologica1641-46401509-572X2024-04-0162332933310.5114/fn.2024.13913854037Headache attributed to ischemic stroke – a new scope for management: a case studyElsayed AbedAhmad Farag El-adaweyMohamed Hamed RashadAhmed Hassan ElsheshinyAli Mahmoud AliFathy Mahmoud MansourAbdel-Ghaffar FayedMohammad Fathi AbdulsalamShaimaa Sayed KhaterAcute ischemic stroke may present with serious clinical manifestations. Headache attributed to ischemic stroke is one of these clinical manifestations which may be neglected and affect the functional outcome of the patients. Understanding the exact pathophysiology, and recognition of the most clinical and radiological predictors can help to provide good management and open scope for prophylactic approaches. Here, we report a case presented with acute onset of ischemic stroke and developed a new onset headache on the first day of stroke onset. According to the International Classification of Headache Disorders third edition (ICHD-3), the patient has a post-stroke headache. Using transcranial duplex ultrasound, activation of the trigeminovascular pathway could be attributed to the opening of more pain-sensitive collateral channels as the left posterior communicating artery (P Com A). In conclusion, we can predict the development of acute headache at stroke onset based on different clinical and radiological factors. Opening of the collateral channels is strongly implicated in the production of post-stroke headache.https://www.termedia.pl/Headache-attributed-to-ischemic-stroke-a-new-scope-for-management-a-case-study,20,54037,1,1.htmlpost-stroke acute headache duplex collateral
spellingShingle Elsayed Abed
Ahmad Farag El-adawey
Mohamed Hamed Rashad
Ahmed Hassan Elsheshiny
Ali Mahmoud Ali
Fathy Mahmoud Mansour
Abdel-Ghaffar Fayed
Mohammad Fathi Abdulsalam
Shaimaa Sayed Khater
Headache attributed to ischemic stroke – a new scope for management: a case study
Folia Neuropathologica
post-stroke
acute headache
duplex
collateral
title Headache attributed to ischemic stroke – a new scope for management: a case study
title_full Headache attributed to ischemic stroke – a new scope for management: a case study
title_fullStr Headache attributed to ischemic stroke – a new scope for management: a case study
title_full_unstemmed Headache attributed to ischemic stroke – a new scope for management: a case study
title_short Headache attributed to ischemic stroke – a new scope for management: a case study
title_sort headache attributed to ischemic stroke a new scope for management a case study
topic post-stroke
acute headache
duplex
collateral
url https://www.termedia.pl/Headache-attributed-to-ischemic-stroke-a-new-scope-for-management-a-case-study,20,54037,1,1.html
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