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Published on: June 2, 2014
Symptomatic approach to posttraumatic headache and its possible implications for treatment
B P Radanov1, G Di Stefano, K F Augustiny
1Department of Psychiatry, University of Berne, Inselspital, Switzerland. radanov@kws.ch
Summary
Chronic posttraumatic headache after whiplash injury is common. Most patients experience tension-type headache, migraine, or cervicogenic headache, often with neck pain, requiring tailored treatments.
Area of Science:
- Neurotraumatology
- Headache Medicine
- Pain Management
Background:
- Chronic posttraumatic headache (CPTH) is a significant neurotrauma complication.
- Previous research on CPTH phenomenology and treatment is inconclusive.
- Accurate diagnosis is crucial for effective management of CPTH.
Purpose of the Study:
- To analyze the clinical characteristics of chronic posttraumatic headache.
- To determine the prevalence of different headache types in post-whiplash patients.
- To highlight the association between headache and neck pain in this cohort.
Main Methods:
- Investigated 112 patients with CPTH following cranio-cervical trauma.
- Headache diagnosis followed International Headache Society criteria.
- Phenomenology analyzed: location, laterality, quality, triggers, and associated symptoms.
Main Results:
- 37% had tension-type headache, 27% migraine, 18% cervicogenic headache.
- 18% of patients had headaches not fitting specific categories.
- Neck pain was associated with headache in 93% of patients.
Conclusions:
- CPTH presents with diverse headache types, including tension-type, migraine, and cervicogenic.
- The high prevalence of neck pain underscores its role in CPTH.
- Specific diagnostic approaches are vital for targeted therapeutic strategies in CPTH.
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