Headache after Ischemic Stroke
How common is headache after ischemic stroke?
Headache is common in people with ischemic strokes. It can occur at onset of stroke symptoms or following stroke. It affects 6-44% of people suffering from ischemic stroke.
What is the type of headache in this group of people?
Headache is similar to tension-type headache. It is located in back of head and neck regions. It is not very severe. There is no nausea or vomiting. There is no photophobia (increased sensitivity to lights) or phonophobia (increased sensitivity to sounds) either.
Who have a higher risk of getting headaches after ischemic stroke?
1. Females have a higher risk than males.
2. Those suffering from posterior circulation stroke have a higher risk.
3. Prevalence is higher in North America and Europe, as compared to Middle East and Asia.
How can this be treated?
Medicines used for treating tension-type headache can be effective. These include amitriptyline or dothiepin (dosulepin) tablets.
(Source: Neurology, Jan 7, 2020 issue)
Dr Sudhir Kumar MD DM
Consultant Neurologist
Apollo Hospitals, Hyderabad
drsudhirkumar@yahoo.com
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