ON the pathogenesis of headache following TIA

Twelve out of 49 patients with single or multiple transient ischemic attacks (TIAs) had TIA-related headaches, mostly in close temporal relation to the ischemic onset. Headache predominated in patients taking vasodilators when TIA occurred or with orthostatic hypotension at the first clinical examination, but arterial hypertension or a personal history of migraine were not more frequent in patients with headache. The site of the pain did not correlate with the presumed territory of cerebral ischemia. Pain during TIA is conceivably due to an interaction between cerebral vessels and the surrounding nervous system. Blood vessels have a sturdy physiological role corcerning blood flow regulation, with receptors and signaling molecules potentialy involved with pain production. Reflex mechanisms should justify pain in other areas.

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Main Authors: André,Charles, Vincent,Maurice B.
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 1997
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1997000200001
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spelling oai:scielo:S0004-282X19970002000012010-11-10ON the pathogenesis of headache following TIAAndré,CharlesVincent,Maurice B. transient cerebral ischemia Cortisol headache neuroendocrine system serotonin trigeminovascular system Twelve out of 49 patients with single or multiple transient ischemic attacks (TIAs) had TIA-related headaches, mostly in close temporal relation to the ischemic onset. Headache predominated in patients taking vasodilators when TIA occurred or with orthostatic hypotension at the first clinical examination, but arterial hypertension or a personal history of migraine were not more frequent in patients with headache. The site of the pain did not correlate with the presumed territory of cerebral ischemia. Pain during TIA is conceivably due to an interaction between cerebral vessels and the surrounding nervous system. Blood vessels have a sturdy physiological role corcerning blood flow regulation, with receptors and signaling molecules potentialy involved with pain production. Reflex mechanisms should justify pain in other areas.info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.55 n.2 19971997-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1997000200001en10.1590/S0004-282X1997000200001
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countrycode BR
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libraryname SciELO
language English
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author André,Charles
Vincent,Maurice B.
spellingShingle André,Charles
Vincent,Maurice B.
ON the pathogenesis of headache following TIA
author_facet André,Charles
Vincent,Maurice B.
author_sort André,Charles
title ON the pathogenesis of headache following TIA
title_short ON the pathogenesis of headache following TIA
title_full ON the pathogenesis of headache following TIA
title_fullStr ON the pathogenesis of headache following TIA
title_full_unstemmed ON the pathogenesis of headache following TIA
title_sort on the pathogenesis of headache following tia
description Twelve out of 49 patients with single or multiple transient ischemic attacks (TIAs) had TIA-related headaches, mostly in close temporal relation to the ischemic onset. Headache predominated in patients taking vasodilators when TIA occurred or with orthostatic hypotension at the first clinical examination, but arterial hypertension or a personal history of migraine were not more frequent in patients with headache. The site of the pain did not correlate with the presumed territory of cerebral ischemia. Pain during TIA is conceivably due to an interaction between cerebral vessels and the surrounding nervous system. Blood vessels have a sturdy physiological role corcerning blood flow regulation, with receptors and signaling molecules potentialy involved with pain production. Reflex mechanisms should justify pain in other areas.
publisher Academia Brasileira de Neurologia - ABNEURO
publishDate 1997
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1997000200001
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