{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T12:02:37Z","timestamp":1785240157645,"version":"3.55.0"},"reference-count":53,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100023862","name":"Nora van Meeuwen H\u00e4fliger Stiftung","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100023862","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Headache is one of the most frequent reasons for emergency department (ED) visits, and distinguishing primary from secondary headache remains challenging. Blood biomarkers may improve early risk stratification. This study evaluates serum neurofilament light chain (sNfL) and glial fibrillary acidic protein (sGFAP) as potential biomarkers in patients presenting with non\u2010traumatic headache to the ED.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Secondary analysis of a prospective multicenter case\u2013control study at University Hospital Basel and Aarau, Switzerland. Patients presenting with acute non\u2010traumatic headache were included. Final headache diagnoses were adjudicated by two board\u2010certified neurologists. Blood samples obtained at ED presentation were analyzed for sNfL and sGFAP, excluding patients with conditions known to affect biomarker levels. Primary headache samples were matched to serious secondary headache samples. Biomarker levels were expressed as age\u2010, BMI\u2010, and sex\u2010adjusted Z\u2010scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 82 patients were analyzed (42 serious secondary, 40 primary headache). Median[IQR] sNfL\n                      <jats:italic>Z<\/jats:italic>\n                      \u2010scores were significantly higher in serious secondary compared with primary headache (0.8 [0.0\u20131.8] vs. 0.2 [\u22120.3\u20130.8];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). sGFAP Z\u2010scores showed an even greater difference (1.2 [\u22120.1\u20132.3] vs. \u22120.2 [\u22120.7\u20130.2];\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Both biomarkers demonstrated a specificity of 85%, but sGFAP showed higher sensitivity (57% vs. 43%), NPV (65% vs. 59%), and PPV (80% vs. 75%). In multivariable analysis adjusted for clinical risk factors, sGFAP remained independently associated with serious secondary headache (OR 1.9, 95%\u2010CI 1.2\u20133.4), whereas sNfL did not.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>sGFAP may represent a promising biomarker to support differentiation between primary and non\u2010traumatic serious secondary headache in the ED, warranting validation in larger cohorts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ene.70691","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T12:16:32Z","timestamp":1783340192000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic Value of Neurofilament Light Chain and Glial Fibrillary Acidic Protein in Differentiating Primary From Serious Secondary Headache"],"prefix":"10.1111","volume":"33","author":[{"given":"Sara\u2010Jessica","family":"Camerin","sequence":"first","affiliation":[{"name":"Department of Endocrinology, Diabetology and Metabolism University Hospital Basel  Basel Switzerland"},{"name":"Department of Clinical Research University of Basel, University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5442-7304","authenticated-orcid":false,"given":"Cihan","family":"Atila","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Diabetology and Metabolism University Hospital Basel  Basel Switzerland"},{"name":"Department of Clinical Research University of Basel, University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudine A.","family":"Blum","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Diabetology and Metabolism University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Sandgren","sequence":"additional","affiliation":[{"name":"Multiple Sclerosis Centre and Research Centre for Clinical Neuroimmunology and Neuroscience (RC2NB), Departments of Biomedicine and Clinical Research University Hospital Basel, University of Basel  Basel Switzerland"},{"name":"Department of Neurology University of Basel, University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksandra","family":"Maleska","sequence":"additional","affiliation":[{"name":"Multiple Sclerosis Centre and Research Centre for Clinical Neuroimmunology and Neuroscience (RC2NB), Departments of Biomedicine and Clinical Research University Hospital Basel, University of Basel  Basel Switzerland"},{"name":"Department of Neurology University of Basel, University Hospital Basel  Basel 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