View : 165 Download: 0

Factors Associated with Incidental Neuroimaging Abnormalities in New Primary Headache Patients

Title
Factors Associated with Incidental Neuroimaging Abnormalities in New Primary Headache Patients
Authors
Kim, Byung-SuKim, Soo-KyoungKim, Jae-MoonMoon, Heui-SooPark, Kwang-YeolPark, Jeong WookSohn, Jong-HeeSong, Tae-JinChu, Min KyungCha, Myoung-JinKim, Byung-KunCho, Soo-Jin
Ewha Authors
송태진
SCOPUS Author ID
송태진scopus
Issue Date
2020
Journal Title
JOURNAL OF CLINICAL NEUROLOGY
ISSN
1738-6586JCR Link

2005-5013JCR Link
Citation
JOURNAL OF CLINICAL NEUROLOGY vol. 16, no. 2, pp. 222 - 229
Keywords
primary headache disordersheadacheneuroimagingmagnetic resonance imaginglogistic models
Publisher
KOREAN NEUROLOGICAL ASSOC
Indexed
SCIE; SCOPUS; KCI WOS
Document Type
Article
Abstract
Background and Purpose Deciding whether or not to perform neuroimaging in primary headache is a dilemma for headache physicians. The aim of this study was to identify clinical predictors of incidental neuroimaging abnormalities in new patients with primary headache disorders. Methods This cross-sectional study was based on a prospective multicenter headache registry, and it classified 1,627 consecutive first-visit headache patients according to the third edition (beta version) of the International Classification of Headache Disorders (ICHD-3 beta). Primary headache patients who underwent neuroimaging were finally enrolled in the analysis. Serious intracranial pathology was defined as serious neuroimaging abnormalities with a high degree of medical urgency. Univariable and multivariable logistic regression analyses were conducted to identify factors associated with incidental neuroimaging abnormalities. Results Neuroimaging abnormalities were present in 170 (18.3%) of 927 eligible patients. In multivariable analysis, age >= 40 years [multivariable-adjusted odds ratio (aOR)=3.37, 95% CI=2.07-6.831, male sex (aOR=1.61, 95% CI=1.12-2.32), and age >= 50 years at headache onset (aOR=1.86, 95% CI=1.24-2.78) were associated with neuroimaging abnormalities. In univariable analyses, age >= 40 years was the only independent variable associated with serious neuroimaging abnormalities (OR=3.37, 95% CI=1.17-9.66), which were found in 34 patients (3.6%). These associations did not change after further adjustment for neuroimaging modality. Conclusions Incidental neuroimaging abnormalities were common and varied in a primary headache diagnosis. A small proportion of the patients incidentally had serious neuroimaging abnormalities, and they were predicted by age >= 40 years. These findings can be used to guide the performing of neuroimaging in primary headache disorders.
DOI
10.3988/jcn.2020.16.2.222
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE