Headache Associated With Transient Ischemic Attacks
Article first published online: 18 MAY 2005
Headache: The Journal of Head and Face Pain
Volume 35, Issue 9, pages 544–548, October 1995
How to Cite
Ferro, J.M., Costa, I., Melo, T.P., Canhão, P., Oliveira, V., Salgado, A.V., Crespo, M. and Pinto, A.N. (1995), Headache Associated With Transient Ischemic Attacks. Headache: The Journal of Head and Face Pain, 35: 544–548. doi: 10.1111/j.1526-4610.1995.hed3509544.x
- Issue published online: 18 MAY 2005
- Article first published online: 18 MAY 2005
- Accepted for publication May 9, 1995.
- vascular headache;
- cerebral ischemia;
- transient ischemic attack
Sixty (29%) of 205 consecutive patients with transient ischemic attacks registered in a hospital stroke data base had headache within 72 hours of onset. Headache was significantly more common in nonsmokers (odds ratio = 2.8; 95% confidence interval = 6.7 to 1.2). Headache was infrequent in patients with amaurosis fugax, and was not significantly associated with any other particular clinical presentation of transient ischemic attack. Headache was more common in vertebrobasilar (33%) than in carotid distribution (24%) episodes, and was not rare in transient ischemic attacks presenting as lacunar syndromes (29%). Headache was less frequent in patients whose computerized tomograms showed an infarct appropriate to the symptoms (odds ratio = 0.2; 95% confidence interval = 0.02 to 1.4). A diffuse headache was more common in patients with lacunar events than in patients with cortical attacks (odds ratio = 3.0; 95% confidence interval = 13 to 0.07). No other association was found between headache location and the presumed involved vascular territory. Headache in patients with transient ischemic attacks is poorly related/explained by the clinical characteristics of the ischemic event.