Headache as a cardinal symptom of coronavirus disease 2019: A cross‐sectional study

By Membrilla JA, de Lorenzo I, Sastre M, et al.
Published September 29, 2020

Key Takeaways

Via a cross‐sectional study in the emergency department of a tertiary hospital, researchers described the semiology of pain and its related features in patients with coronavirus disease 2019 (COVID‐19) and headache presenting to the emergency department not needing urgent services. There were 145 confirmed and probable COVID‐19 patients who were classified according to the Manchester Triage System as standard and non‐urgent. Among these, 99 (68.3%) reported headache. This suggests a high prevalence of headache in patients with COVID‐19 presenting to the emergency room. Among these patients, headache most frequently presented as holocranial or bifrontal moderate to severe, and pressing quality headache. A tendency towards earlier, longer, and more intense headache was observed among individuals with migraine. A higher incidence of anosmia and pneumonia, headache at onset, and hospital admission was seen among patients with confirmed COVID‐19, and the headache appeared simultaneously with other COVID‐19 symptoms in most patients. Fever was identified as the most common trigger and physical activity and coughing as the most frequently seen aggravating factors.

Read the full article on Headache: The Journal of Head and Face Pain.

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