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(Stroke. 1974;5:603.)
© 1974 American Heart Association, Inc.

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Headache and Transient Ischemic Attacks

ALAN B. GRINDAL M.D.¹ JAMES F. TOOLE M.D.¹

¹ Department of Neurology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina 27103

Headache occurring in association with episodes of transient cerebral ischemia has not been emphasized as part of the symptom complex.

In an effort to ascertain the frequency and characteristics of these headaches and to determine whether there is any localizing, diagnostic, or prognostic significance to them, the records of 240 TIA patients were reviewed.

We concluded that headache is a prominent symptom in 25% of patients with TIA and that there were no distinguishing population characteristics, arteriographical findings or prognostic features among patients whose TIAs were accompanied by headache. The locations and temporal relationships of headache occurring in cases of carotid and vertebrobasilar TIA also were compared.

Note:

Dr. Grindal is a visiting Neurology fellow from the Medical College of Virginia, Richmond, Virginia.

Key Words: carotid ischemia • vertebrobasilor insufficiency • amaurosis fugax • subclavian steal