Factors Associated with Incidental Neuroimaging Abnormalities in New Primary Headache Patients
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김병수 | - |
dc.contributor.author | 김수경 | - |
dc.contributor.author | 김재문 | - |
dc.contributor.author | 문희수 | - |
dc.contributor.author | 박광열 | - |
dc.contributor.author | 박정욱 | - |
dc.contributor.author | 손종희 | - |
dc.contributor.author | 송태진 | - |
dc.contributor.author | 주민경 | - |
dc.contributor.author | 차명진 | - |
dc.contributor.author | 김병건 | - |
dc.contributor.author | 조수진 | - |
dc.date.available | 2020-07-24T06:20:38Z | - |
dc.date.issued | 2020-04 | - |
dc.identifier.issn | 1738-6586 | - |
dc.identifier.issn | 2005-5013 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/42257 | - |
dc.description.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-3β). 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=2.07–6.83], 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. | - |
dc.format.extent | 8 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | 대한신경과학회 | - |
dc.title | Factors Associated with Incidental Neuroimaging Abnormalities in New Primary Headache Patients | - |
dc.title.alternative | Factors Associated with Incidental Neuroimaging Abnormalities in New Primary Headache Patients | - |
dc.type | Article | - |
dc.identifier.doi | 10.3988/jcn.2020.16.2.222 | - |
dc.identifier.bibliographicCitation | Journal of Clinical Neurology, v.16, no.2, pp 222 - 229 | - |
dc.identifier.kciid | ART002575353 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000527858700005 | - |
dc.identifier.scopusid | 2-s2.0-85083648455 | - |
dc.citation.endPage | 229 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 222 | - |
dc.citation.title | Journal of Clinical Neurology | - |
dc.citation.volume | 16 | - |
dc.publisher.location | 대한민국 | - |
dc.subject.keywordAuthor | primary headache disorders | - |
dc.subject.keywordAuthor | headache | - |
dc.subject.keywordAuthor | neuroimaging | - |
dc.subject.keywordAuthor | magnetic resonance imaging | - |
dc.subject.keywordAuthor | logistic models. | - |
dc.subject.keywordPlus | INTERNATIONAL CLASSIFICATION | - |
dc.subject.keywordPlus | NEUROPHYSIOLOGICAL TESTS | - |
dc.subject.keywordPlus | NONACUTE HEADACHE | - |
dc.subject.keywordPlus | HEALTH-CARE | - |
dc.subject.keywordPlus | BRAIN | - |
dc.subject.keywordPlus | MIGRAINE | - |
dc.subject.keywordPlus | DISORDERS | - |
dc.subject.keywordPlus | BURDEN | - |
dc.subject.keywordPlus | COST | - |
dc.subject.keywordPlus | POPULATION | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
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