Post–traumatic headache from moderate head injury

Moscato, Davide; Peracchi, Maria I; Savi, L; Battistella, Pier Antonio

doi:10.1007/s10194-005-0208-8

Cited by 14 publications

(10 citation statements)

References 7 publications

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“…[4][5][6][7][8][9]15,16 However, migraine-like headache was the most common type in our study as opposed to the study of D'Onofrio et al 17 in adults in which most of the patients had chronic persistent tension headache. This difference may be related to differences in the development and distribution of pain receptors and in pain perception between the developing and the mature brain.…”

Section: Discussioncontrasting

confidence: 79%

Persistent Headache and Cephalic Allodynia Attributed to Head Trauma in Children and Adolescents

et al. 2016

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The aim of the study was to investigate clinical features of headache associated with minor versus moderate to severe traumatic brain injury and of posttraumatic versus primary headache in children and adolescents. Study group included 74 patients after mild (n = 60) or moderate to severe (n = 14) traumatic brain injury identified by retrospective review of the computerized files of a tertiary pediatric headache clinic. Forty patients (54%) had migraine-like headache, 23 (31.1%) tension-like headache, and 11 (14.9%) nonspecified headache. Fourteen patients (53.8%) had allodynia. In comparison with 174 control patients, the study group had a significantly lower proportion of patients with migraine-like headache and a higher proportion of male patients and patients with allodynia. There was no statistically significant correlation of any of the clinical parameters with the type or severity of the posttraumatic headache or rate of allodynia. The high rate of allodynia in the study group may indicate a central sensitization in posttraumatic headache.

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Section: Discussioncontrasting

confidence: 79%

Persistent Headache and Cephalic Allodynia Attributed to Head Trauma in Children and Adolescents

et al. 2016

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“…The prevalence of CPTH in this Scottish population (6.8%, 95% CI 3.0-13.0) is in keeping with the low prevalence (3.2%) noted in a recent large Italian multicentre study of 1656 children. 6 It is very likely that the reasons for the low prevalence rates in the two studies is related to the use of similar methodology, use of the IHS classification of headache and HI, and the application of strict criteria for the definition of CPTH. The strength of our single-centre study is the high quality prospective data on headache that are consistent, reproducible, and reliable.…”

Section: Discussionmentioning

confidence: 99%

“…CPTH followed a benign course with complete resolution of headache in the majority of children within 6 months. 6 The pathophysiology of CPTH is not well understood. Anatomical and physiological changes include degeneration of nerve fibres, reduced regional cerebral blood flow, and diffuse axonal injury at the grey-white matter interface.…”

mentioning

confidence: 99%

Chronic post‐traumatic headache after head injuryin children and adolescents

Kirk

Nagiub

Abu‐Arafeh

2008

Develop Med Child Neuro

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This was a prospective, observational study of children aged 3 to 15 years admitted to hospital with head injury (HI). Demographic data and information on the nature of the HI, and history of premorbid headache were collected. A structured telephone questionnaire was used to interview parents and children 2 months after injury and at 4‐monthly intervals for up to 3 years, if headache was reported. One hundred and ninety children were admitted with HI. Data were available on 117 children (81 males, 36 females; mean age 8y 5mo [SD 3y 1mo]). HI was minor in 93 patients and significant in the rest. Minor HI was defined as a closed injury, no loss of consciousness, and a Glasgow Coma Score (GCS) of 13 to 15. Significant HI was associated with loss of consciousness for >30 minutes, GCS of <13, and post‐traumatic amnesia for >48 hours. Eight children (five males, three females; mean age 10y 7mo [SD 2y]) reported chronic post‐traumatic headache (CPTH). Five children had episodic tension‐type headache and three had migraine with or without aura. Headache resolved over 3 to 27 months in all except one child who was lost to follow‐up. Premorbid headache in three children transformed in frequency and type following HI. These patients were excluded from the study. CPTH is common after minor and significant HI. It has the clinical features of tension‐type headache and migraine and has a good prognosis.

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“…Recent rigorous studies in the pediatric head injury population found prevalence rates of chronic PTH to be 3.2% and 6.8% 98,99 . Kirk recently 98 found that the majority of chronic PTH resolved by 1 year.…”

Section: Risk Factors For Pth and Prognosismentioning

confidence: 99%

From Psychoneurosis to ICHD‐2: An Overview of the State of the Art in Post‐Traumatic Headache

Gladstone

2009

Headache

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Post-traumatic headache (PTH) is an important public health issue - head injuries are common, headache is the most common sequelae of head injuries, and PTH can be particularly disabling. Fortunately, for most individuals with PTH, the headache gradually dissipates over a period of several days, weeks, or months either spontaneously or aided by non-pharmacologic and/or pharmacologic management. Regrettably, for a minority of head-injured individuals, the PTH is intractable and disabling despite aggressive and comprehensive treatment. Unfortunately, there are many prejudices against individuals with PTH. Frequently, the presence or absence of litigation and/or the mechanism of head injury (sports-related trauma, slip-and-fall injury, motor vehicle accident, or military service-related injury) biases physicians' views on the legitimacy of the patient's PTH. Accordingly, this review attempts to summarize the state of the art of our understanding of PTH. This clinical review highlights: (a) views on PTH throughout the last few centuries, (b) the ICHD-2 classification of PTH, (c) the epidemiology of head injuries and PTH, (d) the clinical characteristics of PTH, (e) PTH related postconcussive symptoms, (f) pathophysiology of PTH, (g) evaluation of PTH, and (h) management of PTH.

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Post–traumatic headache from moderate head injury

Cited by 14 publications

References 7 publications

Persistent Headache and Cephalic Allodynia Attributed to Head Trauma in Children and Adolescents

Persistent Headache and Cephalic Allodynia Attributed to Head Trauma in Children and Adolescents

Chronic post‐traumatic headache after head injuryin children and adolescents

From Psychoneurosis to ICHD‐2: An Overview of the State of the Art in Post‐Traumatic Headache

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