Impairment Ratings for Posttraumatic Headache

Packard, Frederick A.; Ham, Lesley P.

doi:10.1111/j.1526-4610.1993.hed3307359.x

Cited by 12 publications

(2 citation statements)

References 2 publications

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“…For those who do not improve and are felt to have a permanent condition, impairment ratings and disability evaluations should acknowledge these cognitive deficits. 28…”

Section: Discussionmentioning

confidence: 99%

Cognitive Symptoms In Patients With Posttraumatic Headache

1993

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A variety of symptoms (postconcussion symptoms) have been consistently reported following mild head or neck injury. One symptom which may have been under reported is cognitive impairment. We conducted a retrospective study of 100 patients presenting for evaluation and treatment of posttraumatic headache at our headache clinic. Sixty-five percent reported difficulties with either memory, concentration, and/or thinking. The most common cognitive symptoms reported were concentration+memory problems, concentration + memory + thinking difficulties, concentration disturbances, and difficulty remembering, respectively. Subjects in both groups (with cognitive symptoms and without cognitive symptoms) were similar in age, but females seemed more predisposed than males to cognitive impairment following mild head injury. It is suggested that clinicians thoroughly evaluate patients for cognitive symptoms, particularly when patients have a permanent condition and are subsequently involved in litigation.

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“…For those who do not improve and are felt to have a permanent condition, impairment ratings and disability evaluations should acknowledge these cognitive deficits. 28…”

Section: Discussionmentioning

confidence: 99%

Cognitive Symptoms In Patients With Posttraumatic Headache

1993

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“…Currently, there are no uniform criteria for determining the level of functionality of patients with cPTH who report compromise in several life functioning domains. 24 Thus, inventories of quality of life that enable measurement by means of direct questions related to health, professional activity, social and emotional relationships, represents a highly effective approach for determining the limitations imposed by chronic headache.…”

Section: Discussionmentioning

confidence: 99%

Life quality, depression and anxiety symptoms in chronic post-traumatic headache after mild brain injury

Martins¹,

Martins²,

Ribas³

et al. 2012

Dement. neuropsychol.

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Post-traumatic headache (PTH) is the most common symptom found in the post-traumatic syndrome, whose onset occurs within seven days of the trauma. The condition is characterized as acute when it persists for up to 3 months. PTH beyond this period is considered chronic.ObjectivesThe objective of this study was to determine the clinical features of chronic post-traumatic headache (cPTH) and its association with depression, anxiety and quality of life.MethodsA total of 73 female subjects were evaluated. Patients were divided into three groups: (a) group without headache, CONTROL, n=25; (b) cPTH group, n=19; and (c) MIGRAINE, n=29, with all subjects in the 11-84 year age group. Symptoms of anxiety and depression were evaluated by the Beck inventories of anxiety and depression, and quality of life assessed by the Lipp and Rocha quality of life inventory. Qualitative variables were analyzed using the Chi-square or Fisher's exact tests and expressed as percentages whereas quantitative variables were analyzed by ANOVA, Mann-Whitney or Kruskal-Wallis tests with data expressed as mean±standard deviation, p<0.05.ResultsSubjects with cPTH presented with headache manifesting similar features to those found in migraine. The cPTH group was associated with similar levels of anxiety and depression to the migraine group and higher than the CONTROL (p<0.001). Quality of life of individuals with cPTH was similar to that of subjects with migraine and lower than CONTROL subjects (p<0.05).ConclusionscPTH presents similar clinical characteristics to migraine. Subjects with cPTH had high levels of anxiety and depression symptoms and reduced quality of life.

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Assessing Mild Traumatic Brain Injury

Zasler¹,

Martelli²

1998

AMA Guides® Newsletter

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Mild traumatic brain injury (MTBI) accounts for approximately 80% of the estimated 373000 traumatic brain injuries that occur annually in the United States. MTBI typically occurs in males 15 to 24 years of age, and postconcussional sequelae may impede physical, emotional, social, marital, vocational, and avocational functioning. Usually the severity of the initial neurologic injury is defined according to the Glasgow Coma Score, the presence and duration of amnesia (retrograde and anterograde), and the alteration of loss of consciousness and its duration. MTBI is a traumatically induced physiological disruption of cerebral function manifested by at least one of the following: loss of consciousness no longer than 20 minutes; any loss of memory; any alteration in mental status at the time of the accident; physical symptoms that potentially are related to the brain; and development of posttraumatic cognitive deficits not accounted for by emotional factors. When a patient presents with multisystem trauma, impairments may involve several parts of the body, including the nervous system. Individual impairments of other systems should be calculated separately and their whole person values combined using the Combined Values Chart in AMA Guides to the Evaluation of Permanent Impairment. At present, no ideal system can rate impairment following MTBI, and physicians must thoroughly understand both the underlying disease process and the associated injuries.

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Impairment Ratings for Posttraumatic Headache

Cited by 12 publications

References 2 publications

Cognitive Symptoms In Patients With Posttraumatic Headache

Cognitive Symptoms In Patients With Posttraumatic Headache

Life quality, depression and anxiety symptoms in chronic post-traumatic headache after mild brain injury

Assessing Mild Traumatic Brain Injury

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