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Author (up) Linde, M.; Langnes, H.A.; Hagen, K.; Bergh, K.; Stovner, L.J. url  doi
  Title No increase in headache after previous intracranial infections: a historical cohort study (HUNT) Type Journal Article
  Year 2012 Publication European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies Abbreviated Journal Eur J Neurol  
  Volume 19 Issue 2 Pages 324-331  
  Keywords Adult; Aged; Central Nervous System Infections/*complications; Cohort Studies; Female; Headache/diagnosis/*epidemiology/*etiology; Health Surveys; Humans; Longitudinal Studies; Male; Middle Aged; Prevalence; Questionnaires  
  Abstract BACKGROUND AND PURPOSE: Despite the absence of robust scientific evidence, it is today generally accepted that the acute headache typical for intracranial infections can develop into permanent headache complaints. This widespread concept was explored in the first, large, longitudinal, population-based study. METHODS: Data on confirmed exposure to intracranial infections amongst all adult inhabitants in a geographical area during a 20-year period were assembled from hospital records. Surviving individuals were later invited to the third Nord-Trondelag Health Survey (HUNT 3), where 39,690 (42%) of 94,194 invited inhabitants aged >/=20 years responded to a validated headache questionnaire. Using logistic regression, the 1-year prevalence of headache and its subtypes according to the diagnostic criteria of the International Headache Society was assessed and compared between those with and without previous confirmed intracranial infection. Age and sex were used as covariates. RESULTS: Overall, 43 participants were identified with earlier intracranial infection, whereof three had more than one infection: bacterial meningitis (n=19), lymphocytic meningitis (n=18), encephalitis (n=9), and brain abscess (n=1).The mean interval from infection to participation in HUNT 3 was 11.2 (range 1.5-19.7) years. There was no significant increase in the prevalence of headache (OR 1.10, 95% CI 0.58-2.07), its subtypes (migraine, or tension-type headache), or chronic daily headache (OR 1.85, 95% CI 0.45-7.68) amongst participants with previous intracranial infection compared with the surrounding population. CONCLUSIONS: This study challenges the existence of chronic post-bacterial meningitis headache and does not indicate the presence of other long-term headaches induced by intracranial infection.  
  Address Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway. mattias.linde@ntnu.no  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1351-5101 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:21951375 Approved no  
  Call Number HUNT @ maria.stuifbergen @ Serial 1545  
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