Remission of migraine after clipping of saccular intracranial aneurysms

E R Lebedeva; A V Busygina; V S Kolotvinov; V P Sakovich; Jes Olesen

doi:10.1111/ane.12292

Remission of migraine after clipping of saccular intracranial aneurysms

E R Lebedeva, A V Busygina, V S Kolotvinov, V P Sakovich, Jes Olesen

Department of Clinical Medicine

4 Citations (Scopus)

Abstract

Background: Unruptured saccular intracranial aneurysm (SIA) is associated with an increased prevalence of migraine, but it is unclear whether this is altered by clipping of the aneurysm. The aim of our study was to determine whether remission rate of migraine and other recurrent headaches was greater in patients with SIA after clipping than in controls. Methods: We prospectively studied 87 SIA patients with migraine or other recurrent headaches. They were interviewed about headaches in the preceding year before and 1 year after clipping using a validated semi-structured neurologist conducted interview. The remission rates of migraine and tension-type headache (TTH) in these patients were compared to 92 patients from a headache center. Diagnoses were made according to the ICHD-2. Results: During 1 year preceding rupture 51 patients with SIA had migraine. During the year after clipping, this was reduced by 74.5% (P < 0.0001). At first encounter, 47 control patients had migraine during the preceding year, and during 1 year of treatment, it was 41, a reduction 12.8% (P > 0.5). The decrease of migraine in SIA patients was significantly higher than in controls: 74.5% vs 12.8% (P < 0.001). A history of TTH was given by 33 patients with SIA during the year preceding rupture and by 44 during 1 year after clipping (P > 0.75). Forty-one control patients had TTH, 27 after 1 year of treatment, a reduction 34.1% (P < 0.05). No factors except clipping of the aneurysm could explain the remission of migraine. Conclusions: Migraine prevalence in patients with SIA decreases significantly after clipping. Further comparative studies of migraine after coiling vs clipping in SIA patients are needed.

Original language	English
Journal	Acta Neurologica Scandinavica
Volume	131
Issue number	2
Pages (from-to)	120–126
Number of pages	7
ISSN	0001-6314
DOIs	https://doi.org/10.1111/ane.12292
Publication status	Published - 1 Feb 2015

Keywords

Adult
Aged
Female
Humans
Intracranial Aneurysm
Male
Middle Aged
Migraine Disorders
Neurosurgical Procedures
Prevalence
Surgical Instruments
Young Adult

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10.1111/ane.12292

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title = "Remission of migraine after clipping of saccular intracranial aneurysms",

abstract = "Background: Unruptured saccular intracranial aneurysm (SIA) is associated with an increased prevalence of migraine, but it is unclear whether this is altered by clipping of the aneurysm. The aim of our study was to determine whether remission rate of migraine and other recurrent headaches was greater in patients with SIA after clipping than in controls. Methods: We prospectively studied 87 SIA patients with migraine or other recurrent headaches. They were interviewed about headaches in the preceding year before and 1 year after clipping using a validated semi-structured neurologist conducted interview. The remission rates of migraine and tension-type headache (TTH) in these patients were compared to 92 patients from a headache center. Diagnoses were made according to the ICHD-2. Results: During 1 year preceding rupture 51 patients with SIA had migraine. During the year after clipping, this was reduced by 74.5% (P < 0.0001). At first encounter, 47 control patients had migraine during the preceding year, and during 1 year of treatment, it was 41, a reduction 12.8% (P > 0.5). The decrease of migraine in SIA patients was significantly higher than in controls: 74.5% vs 12.8% (P < 0.001). A history of TTH was given by 33 patients with SIA during the year preceding rupture and by 44 during 1 year after clipping (P > 0.75). Forty-one control patients had TTH, 27 after 1 year of treatment, a reduction 34.1% (P < 0.05). No factors except clipping of the aneurysm could explain the remission of migraine. Conclusions: Migraine prevalence in patients with SIA decreases significantly after clipping. Further comparative studies of migraine after coiling vs clipping in SIA patients are needed.",

keywords = "Adult, Aged, Female, Humans, Intracranial Aneurysm, Male, Middle Aged, Migraine Disorders, Neurosurgical Procedures, Prevalence, Surgical Instruments, Young Adult",

author = "Lebedeva, {E R} and Busygina, {A V} and Kolotvinov, {V S} and Sakovich, {V P} and Jes Olesen",

note = "{\textcopyright} 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.",

year = "2015",

month = feb,

day = "1",

doi = "10.1111/ane.12292",

language = "English",

volume = "131",

pages = "120–126",

journal = "Acta Neurologica Scandinavica",

issn = "0001-6314",

publisher = "Wiley-Blackwell",

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}

TY - JOUR

T1 - Remission of migraine after clipping of saccular intracranial aneurysms

AU - Lebedeva, E R

AU - Busygina, A V

AU - Kolotvinov, V S

AU - Sakovich, V P

AU - Olesen, Jes

PY - 2015/2/1

Y1 - 2015/2/1

N2 - Background: Unruptured saccular intracranial aneurysm (SIA) is associated with an increased prevalence of migraine, but it is unclear whether this is altered by clipping of the aneurysm. The aim of our study was to determine whether remission rate of migraine and other recurrent headaches was greater in patients with SIA after clipping than in controls. Methods: We prospectively studied 87 SIA patients with migraine or other recurrent headaches. They were interviewed about headaches in the preceding year before and 1 year after clipping using a validated semi-structured neurologist conducted interview. The remission rates of migraine and tension-type headache (TTH) in these patients were compared to 92 patients from a headache center. Diagnoses were made according to the ICHD-2. Results: During 1 year preceding rupture 51 patients with SIA had migraine. During the year after clipping, this was reduced by 74.5% (P < 0.0001). At first encounter, 47 control patients had migraine during the preceding year, and during 1 year of treatment, it was 41, a reduction 12.8% (P > 0.5). The decrease of migraine in SIA patients was significantly higher than in controls: 74.5% vs 12.8% (P < 0.001). A history of TTH was given by 33 patients with SIA during the year preceding rupture and by 44 during 1 year after clipping (P > 0.75). Forty-one control patients had TTH, 27 after 1 year of treatment, a reduction 34.1% (P < 0.05). No factors except clipping of the aneurysm could explain the remission of migraine. Conclusions: Migraine prevalence in patients with SIA decreases significantly after clipping. Further comparative studies of migraine after coiling vs clipping in SIA patients are needed.

AB - Background: Unruptured saccular intracranial aneurysm (SIA) is associated with an increased prevalence of migraine, but it is unclear whether this is altered by clipping of the aneurysm. The aim of our study was to determine whether remission rate of migraine and other recurrent headaches was greater in patients with SIA after clipping than in controls. Methods: We prospectively studied 87 SIA patients with migraine or other recurrent headaches. They were interviewed about headaches in the preceding year before and 1 year after clipping using a validated semi-structured neurologist conducted interview. The remission rates of migraine and tension-type headache (TTH) in these patients were compared to 92 patients from a headache center. Diagnoses were made according to the ICHD-2. Results: During 1 year preceding rupture 51 patients with SIA had migraine. During the year after clipping, this was reduced by 74.5% (P < 0.0001). At first encounter, 47 control patients had migraine during the preceding year, and during 1 year of treatment, it was 41, a reduction 12.8% (P > 0.5). The decrease of migraine in SIA patients was significantly higher than in controls: 74.5% vs 12.8% (P < 0.001). A history of TTH was given by 33 patients with SIA during the year preceding rupture and by 44 during 1 year after clipping (P > 0.75). Forty-one control patients had TTH, 27 after 1 year of treatment, a reduction 34.1% (P < 0.05). No factors except clipping of the aneurysm could explain the remission of migraine. Conclusions: Migraine prevalence in patients with SIA decreases significantly after clipping. Further comparative studies of migraine after coiling vs clipping in SIA patients are needed.

KW - Adult

KW - Aged

KW - Female

KW - Humans

KW - Intracranial Aneurysm

KW - Male

KW - Middle Aged

KW - Migraine Disorders

KW - Neurosurgical Procedures

KW - Prevalence

KW - Surgical Instruments

KW - Young Adult

U2 - 10.1111/ane.12292

DO - 10.1111/ane.12292

M3 - Journal article

C2 - 25288229

SN - 0001-6314

VL - 131

SP - 120

EP - 126

JO - Acta Neurologica Scandinavica

JF - Acta Neurologica Scandinavica

IS - 2

ER -

Remission of migraine after clipping of saccular intracranial aneurysms

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