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Academia Mexicana de Neurología, A.C.

2007, Number 5

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Rev Mex Neuroci 2007; 8 (5)

Magnetic resonance imaging utility in cephalalgia study

Boleaga DB

Language: Spanish
References: 63
Page: 491-499
PDF size: 239.96 Kb.


ABSTRACT

Introduction: Headache is a frequent cause of medical consultation representing the most common neurological symptom on human being, whose acute, subacute or chronic evolution on economically active population may become a cause of laboral inability. Objectives: Present paper pretends to show Magnetic Resonance Imaging (MRI) as a relevant non invasive paraclinical method in the detection of morphological and tisular intensity signal changes in order to know the etiology and detectable intra and extra cranial consequences accompanying headache to improve treatment selection. Material and methods: 202 patients with different kinds of headache as single or accompanying symptom of other clinical manifestations with different etiology had MRI examination of the head on a 0.5T GE Magnetic Resonance equipment with T1 and T2 sequences on axial, sagital and coronal planes. Our casuistic was integrated with 140 male patients (69.30%) and 62 female patients (30.30%) and no one was examined before with other imaging method. Age varied between 20 and 69 years old (average of 42 years). Results: In 132 (65.34%) cases MRI showed pathological findings justifying the clinical manifestation of headache. 70 (34.66%) cases showed no abnormality and MRI was considered effective due to its ability to eliminate other clinical suspected diagnostics. MRI pathology detected in 132 cases showed demielinating processes due to microangiopathy and leucoaraiosis associated with systemic arterial hypertension and chronic headache changes in 34 cases. Neoplasic etiology was detectable in 12 cases and non-ruptured vascular malformations in 20. Congenital cystic lesions in 15. Different kinds of stroke in 10. Inflammatory pathology affecting paranasal sinuses mucose in 12. Neurocysticercosis in nine and finally 10 cases with less frequent pathologic lesions of different kinds. Conclusion: Almost two thirds of cases with headache showed in MRI some kind of lesion. Most of these lesions represented pathology susceptible to react adequately with precise therapeutic measures. MRI is an imaging method with high sensitivity and diagnostic specificity in patients with headache


REFERENCES

  1. Diez E, Bescansa E. Cefaleas. Medicine 1987; 32(1): 2120-36.

  2. Bescansa E. Migraña y Cefalea: Diagnóstico y tratamiento. Medicine 1991; 32(1): 2159-73.

  3. Gilman S. Advances in Neurology. N Engl J Med 1992; 326(24): 1608-16.

  4. Prager J, Mikulis D. The Radiology of the Headache. Med Clin North Am 1991; 75(3): 525-44.

  5. Gili J. Tomografía por Resonancia Magnética Nuclear. Medicine 1990; Suppl 4: 143-5.

  6. Abu-Arefeh I, Russell G. Prevalence of headache and migraine in schoolchildren. BMJ 1994; 309(6957): 765-9.

  7. Brattberg G. The incidence of back pain and headache among Swedish school children. Qual Life Res 1994; 3(Suppl 1): S27-S31.

  8. Gobel H, Petersen-Braun M, Soyka D. The epidemiology of headache in Germany: a nationwide survey of a representative sample on the basis of the headache classification of the International Headache Society. Cephalalgia 1994; 14(2): 97-106.

  9. Wong TW, Wong KS, Yu TS, Kay R. Prevalence of migraine and other headaches in Hong Kong. Neuroepidemiology 1995; 14(2): 82-91.

  10. Lipton RB, Stewart WF. The epidemiology of migraine. Eur Neurol 1994; 34(Suppl 2): 6-11.

  11. Kryst S, Scherl E. A population-based survey of the social and personal impact of headache. Headache 1994; 34(6): 344-50.

  12. Merikangas KR, Whitaker AE, Isler H, Angst J. The Zurich Study: XXIII. Epidemiology of headache syndromes in the Zurich cohort study of young adults. Eur Arch Psychiatry Clin Neurosci 1994; 244(3): 145-52.

  13. Cruz ME, Cruz I, Preux PM, Schantz P, Dumas M. Headache and cysticercosis in Ecuador, South America. Headache 1995; 35(2): 93-7.

  14. O’Brien B, Goeree R, Streiner D. Prevalence of migraine headache in Canada: a population-based survey. Int J Epidemiol 1994; 23(5): 1020-6.

  15. Russell MB, Rasmussen BK, Thorvaldsen P, Olesen J. Prevalence and sex ratio of the subtypes of migraine. Int J Epidemiol 1995; 24(3): 612-18.

  16. Sanz M, Capdevila A. Resonancia Magnética en el Estudio de las Enfermedades Desmielinizantes. Medicine 1990: Suppl. 4: 177-81.

  17. Forsyth PA, Posner JB. Headaches in patients with brain tumors: a study of 111 patients. Neurology 1993; 43(9): 1678-83.

  18. Suwanwela N, Phanthumchinda K, Kaoropthum S. Headache in brain tumor: a cross-sectional study. Headache 1994; 34(7): 435-8.

  19. Purdy RA, Kirby S. Headaches and brain tumors. Neurol Clin 2004; 22(1): 39-53. Review.

  20. The epidemiology of headache among children with brain tumor. Headache in children with brain tumors. The Childhood Brain Tumor Consortium. J Neurooncol 1991; 10(1): 31-46.

  21. Tsushima Y, Endo K. MR imaging in the evaluation of chronic or recurrent headache. Radiology 2005; 235(2): 575-9. Review.

  22. Jordan JE, Ramirez GF, Bradley WG, Chen DY, Lightfoote JB, Song A. Economic and outcomes assessment of magnetic resonance imaging in the evaluation of headache. J Natl Med Assoc 2000; 92(12): 573-8.

  23. Becker LA, Green LA, Beaufait D, Kirk J, Froom J, Freeman WL. Use of CT scans for the investigation of headache: a report from ASPN, Part 1. J Fam Pract 1993; 37(2): 129-34.

  24. Frishberg BM. The utility of neuroimaging in the evaluation of headache in patients with normal neurologic examinations. Neurology 1994; 44(7): 1191-7.

  25. Mitchell CS, Osborn RE, Grosskreutz SR. Computed tomography in the headache patient: is routine evaluation really necessary? Headache 1993; 33(2): 82-6.

  26. Osborn RE, Alder DC, Mitchell CS. MR imaging of the brain in patients with migraine headaches. AJNR 1991; 12(3): 521-4.

  27. Weingarten S, Kleinman M, Elperin L, Larson EB. The effectiveness of cerebral imaging in the diagnosis of chronic headache. Arch Intern Med 1992; 152(12): 2457-62.

  28. Martin-Villalta J. Enfermedades Vasculares Cerebrales: Diagnóstico y Tratamiento. Medicine 1991; 32(2): 2269-85.

  29. Sanz M, Capdevila A. Diagnóstico de los Tumores Intracerebrales por Resonancia Magnética. Medicine 1990; Suppl. 5: 188-97.

  30. Miyatake S, Kikuchi H, Yamasaki T, et al. Glial Cyst of the Pineal Gland with Characteristic Computed Tomography, Magnetic Resonance Imagining and Pathological Findings: Reports of two Cases. Surg Neurol 1992; 37(4): 293-9.

  31. Nakase H, Ishida Y, Tada T, et al. Neuroepithelial Cyst of the Lateral Ventricle. Clinical Features and Treatment. Surg Neurol 1992; 37(2): 94-100.

  32. Ziegler D, Batnitzky S, Barter R, McMillian J. Magnetic Resonance Image Abnormality in Migraine with Aura. Cephalalgia 1991; 11(3): 147-50.

  33. Modrego P, Lopez del Val J, Pascual L, Morales F. Infartos Cerebrales Múltiples durante el Ataque de Migraña. Neurología 1991; 6(2): 68-70.

  34. Igarashi H, Sakai F, Kan S, Okada J, Tasaki Y. Magnetic Resonance Imaging of the Brain in Patient with Migraine. Cephalalgia 991; 11(2): 69-74.

  35. Ganji S, Williams W, Furlow J. Bilateral Occipital Lobe Infarction in Acute Migraine: Clinical; Neurophysiological and Neuroradiological Study. Headache 1992; 32(7): 360-5.

  36. Barbiroli B, Montagna P, Cortelli P, et al. Abnormal Brain and Muscle Energy Metabolism Shown by 31P Magnetic Resonance Spectroscopy in Patients Affected by Migraine with Aura. Neurology 1992; 42(6): 1209-14.

  37. Wakakura M, Ichibe B. Permanent Homonymous Hemianopsias Following Migraine. J Clin Neuroophtalmol 1992; 12(3): 198-202.

  38. Fazekas F, Koch M, Schmidt R, et al. The Prevalence of Cerebral Damage Varies with Migraine Type: A MRI Study. Headache 1992; 36(6): 287-91.

  39. Schalake H, Grotemeyes K, Husstedt Y, Schuierer G, Brune G. Symptomatic Migraine: Intracraneal Lesion Mimicking Migrainous. Headache 1991; 31(10): 661-5.

  40. Barbiroli B, Montagna P, Cortelli P, Sacquegna T, Zaniol P. Complicated Migraine Studied by Phosphorus Magnetic Resonance Spectroscopy. Cephalalgia 1990; 10(5): 263-72.

  41. Kuhn M, Shekar P. A Comparative Study of Magnetic Resonance Imaging and Computed Tomography in the Evaluation of Migraine. Comput Med Imaging Graph 1990; 14(2): 140-52.

  42. Goldstein J, Shaywitz B, Sze G, Nallainathan S. Migraine Associated with Focal Cerebral Edema, Cerebrospinal Fluid Pleocytosis and Progressive Cerebellar Ataxia: MRI Documentation. Neurology 1990; 40(8): 128-7.

  43. Jacome D, Laborgne, J. MRI Study in Basilar Artery Migraine. Headache 1990; 30(2): 88-90.

  44. Arroyo S, Sánchez-Portocarrero J, Baraquero S, García-Urrúa D, Varela de Seijas E. Migraña Complicada: Un Estudio de 7 casos. Neurología 1990; 5(4): 125-9.

  45. Sanz M, Capdevila A. Resonancia Magnética en el Diagnóstico Clínico de la Isquemia Cerebral. Medicine 1990; Suppl 5: 182-7.

  46. Medina LS, D’Souza B, Vasconcellos E. Adults and children with headache: evidence-based diagnostic evaluation. Neuroimaging Clin N Am 2003; 13(2): 225-35.

  47. Sandrini G, Friberg L, Janig W, et al. Neurophysiological tests and neuroimaging procedures in non-acute headache: guidelines and recommendations. Eur J Neurol 2004; 11(4): 217-24.

  48. Cohen AS, Goadsby PJ. Functional neuroimaging of primary headache disorders. Curr Neurol Neurosci Rep 2004; 4(2): 105-10.

  49. Aurora SK. Imaging chronic daily headache. Curr Pain Headache Rep 2003; 7(3): 209-11.

  50. Lledo A, Calandre L, Martinez-Menendez B, Perez-Sempere A, Portera- Sanchez A. Acute headache of recent onset and subarachnoid hemorrhage: a prospective study. Headache 1994; 34(3): 172-4.

  51. Linn FH, Wijdicks EF, van der Graaf Y, Weerdesteyn-van Vliet FA, Bartelds AI, van Gijn J. Prospective study of sentinel headache in aneurysmal subarachnoid hemorrhage. Lancet 1994; 344(8922): 590-3.

  52. van der Wee N, Rinkel GJ, Hasan D, van Gijn J. Detection of subarachnoid haemorrhage on early CT: is lumbar puncture still needed after a negative scan? J Neurol Neurosurg Psychiatry 1995; 58(3): 357-9.

  53. Markus H, Bunker C, Kouris K, Costa D, Harrison M. RCBF Abnormalities Detected and Sequentially Followed, by SPECT in Neuro-Behcet’s Syndrome with Normal CT and MRI. J Neurol 1992; 239(7): 363-6.

  54. Stovner L. Headache and Chiari Type Malformation: Occurrence in Female Monozygotic Twins and First-degree Relatives. Cephalalgia 1992; 12(5): 302-7.

  55. Perez-Garriguez H, Yaya R, Lopez-Arlandis A, et al. Hallazgos Oculográficos en la Malformación tipo I de Arnold Chiari. AN Otorrinolaringol Ibero Am 1991; 18(5): 479-90.

  56. Wicks T, Collins P. Excision of an Arteriovenous Malformation. AANA J 1991; 59(3): 260-2.

  57. Anson J, Crowell R. Cervicocraneal Arterial Dissection. Neurosurgery 1991; 29(1): 89-96.

  58. Levine S, Puchalski C. Pseudotumor Cerebri Associated with Lithium Therapy in two Patients. Radiology 1990; 32: 212-16.

  59. Osborn R, Alder D, Mitchell C. MR Imaging of the Brain in Patients with Migraine Headache. AJNR 1991; 12(3): 521-4.

  60. Campbell J. CT or Not CT?- That is the question. Headache 1993; 33(2): 52-3.

  61. Dumas M, Pezman J, Kreeft J. Computed Tomography Evaluation of patients with Chronic Headache. Can Med Ass J 1994; 151(10): 47-52.

  62. Wen P, Shanti Y. Use of Cerebral Imaging in Patients with Headache. Arch Intern Med 1993; 153(3): 1613-14.

  63. Olesen J. Classification and Diagnostic Criteria for Headache Disorders, cranial neuralgias and Facial pain. Headache classification Committee of the International Headache Society. Cephalalgia 1988; 8(S7): 1-96.




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