Scar neuromas as triggers for headache after craniotomy: clinical evidence
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000300010 |
Resumo: | We present four cases of headache with variable intensity, located in close proximity to a craniotomy incision which was performed for non-traumatic reasons. Since manual palpation of the scar often triggers pain, and infiltration with local anesthetics reduce or abolish the pain in some patients, we suggest that neuromas or nerve entrapment in the scars, as a result of the surgery, are responsible for headaches. Although local infiltrations or nerve blocks are often used for diagnostic reasons, herein we consider that they are also of therapeutic value. We review the current known pathophysiology of post-craniotomy headaches and present a hypothesis suggesting a greater recognition of the potential contribution of neuroma formation in areas of scars tissue to contribute to this kind of headache. |
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Scar neuromas as triggers for headache after craniotomy: clinical evidencepost-craniotomy headacheneuromasnerve blockWe present four cases of headache with variable intensity, located in close proximity to a craniotomy incision which was performed for non-traumatic reasons. Since manual palpation of the scar often triggers pain, and infiltration with local anesthetics reduce or abolish the pain in some patients, we suggest that neuromas or nerve entrapment in the scars, as a result of the surgery, are responsible for headaches. Although local infiltrations or nerve blocks are often used for diagnostic reasons, herein we consider that they are also of therapeutic value. We review the current known pathophysiology of post-craniotomy headaches and present a hypothesis suggesting a greater recognition of the potential contribution of neuroma formation in areas of scars tissue to contribute to this kind of headache.Academia Brasileira de Neurologia - ABNEURO2012-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000300010Arquivos de Neuro-Psiquiatria v.70 n.3 2012reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2012000300010info:eu-repo/semantics/openAccessFerreira,Karen dos SantosDach,FabíolaSpeciali,José Geraldoeng2012-03-01T00:00:00Zoai:scielo:S0004-282X2012000300010Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2012-03-01T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Scar neuromas as triggers for headache after craniotomy: clinical evidence |
title |
Scar neuromas as triggers for headache after craniotomy: clinical evidence |
spellingShingle |
Scar neuromas as triggers for headache after craniotomy: clinical evidence Ferreira,Karen dos Santos post-craniotomy headache neuromas nerve block |
title_short |
Scar neuromas as triggers for headache after craniotomy: clinical evidence |
title_full |
Scar neuromas as triggers for headache after craniotomy: clinical evidence |
title_fullStr |
Scar neuromas as triggers for headache after craniotomy: clinical evidence |
title_full_unstemmed |
Scar neuromas as triggers for headache after craniotomy: clinical evidence |
title_sort |
Scar neuromas as triggers for headache after craniotomy: clinical evidence |
author |
Ferreira,Karen dos Santos |
author_facet |
Ferreira,Karen dos Santos Dach,Fabíola Speciali,José Geraldo |
author_role |
author |
author2 |
Dach,Fabíola Speciali,José Geraldo |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Ferreira,Karen dos Santos Dach,Fabíola Speciali,José Geraldo |
dc.subject.por.fl_str_mv |
post-craniotomy headache neuromas nerve block |
topic |
post-craniotomy headache neuromas nerve block |
description |
We present four cases of headache with variable intensity, located in close proximity to a craniotomy incision which was performed for non-traumatic reasons. Since manual palpation of the scar often triggers pain, and infiltration with local anesthetics reduce or abolish the pain in some patients, we suggest that neuromas or nerve entrapment in the scars, as a result of the surgery, are responsible for headaches. Although local infiltrations or nerve blocks are often used for diagnostic reasons, herein we consider that they are also of therapeutic value. We review the current known pathophysiology of post-craniotomy headaches and present a hypothesis suggesting a greater recognition of the potential contribution of neuroma formation in areas of scars tissue to contribute to this kind of headache. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000300010 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2012000300010 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X2012000300010 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.70 n.3 2012 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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1754212772897357824 |