Postcraniotomy Headache: Etiologies and Treatments

Purpose of Review Postcraniotomy headache (PCH) is a highly underappreciated and very common adverse event following craniotomy. Recent Findings Analgetic medication with opioids often interferes with neurologic evaluation in the acute phase of recovery and should be kept to a minimal, in general, i...

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Veröffentlicht in:Current pain and headache reports 2022-05, Vol.26 (5), p.357-364
Hauptverfasser: Bello, Corina, Andereggen, Lukas, Luedi, Markus M., Beilstein, Christian M.
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container_end_page 364
container_issue 5
container_start_page 357
container_title Current pain and headache reports
container_volume 26
creator Bello, Corina
Andereggen, Lukas
Luedi, Markus M.
Beilstein, Christian M.
description Purpose of Review Postcraniotomy headache (PCH) is a highly underappreciated and very common adverse event following craniotomy. Recent Findings Analgetic medication with opioids often interferes with neurologic evaluation in the acute phase of recovery and should be kept to a minimal, in general, in the treatment of chronic pain as well. We provide an update on the latest evidence for the management of acute and chronic PCH. Summary Especially in the neurosurgical setting, enhanced recovery after surgery protocols need to include a special focus on pain control. Patients at risk of developing chronic pain must be identified and treated as early as possible.
doi_str_mv 10.1007/s11916-022-01036-8
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Recent Findings Analgetic medication with opioids often interferes with neurologic evaluation in the acute phase of recovery and should be kept to a minimal, in general, in the treatment of chronic pain as well. We provide an update on the latest evidence for the management of acute and chronic PCH. Summary Especially in the neurosurgical setting, enhanced recovery after surgery protocols need to include a special focus on pain control. 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subjects Acute Pain Medicine (R Urman
Acute Pain Medicine (R Urman, Section Editor)
Analgesics, Opioid - therapeutic use
Anesthesia
Anti-inflammatory agents
Brain cancer
Chronic Pain - drug therapy
Craniotomy - adverse effects
Fentanyl
Headache - drug therapy
Headache - therapy
Headaches
Hospitals
Humans
Internal Medicine
Medicine
Medicine & Public Health
Narcotics
Nausea
Neurosurgery
Pain
Pain Management
Pain Medicine
Patients
Recovery (Medical)
Section Editor
Surgery
Topical Collection on Acute Pain Medicine
Vomiting
title Postcraniotomy Headache: Etiologies and Treatments
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