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Traumatic-event headaches.

David C Haas1

  • 1Department of Neurology, SUNY Upstate Medical University, University Health Care Center, 90 Presidential Plaza, Syracuse, NY 13202, USA. dc_haas@yahoo.com

BMC Neurology
|November 2, 2004
PubMed
Summary
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This study identifies unrecognized chronic headaches resulting from physical trauma, distinct from head or whiplash injuries. These headaches resemble those from head trauma, suggesting a broader category of post-traumatic headaches.

Area of Science:

  • Neurology
  • Trauma Medicine
  • Headache Disorders

Background:

  • Chronic headaches are commonly linked to head trauma and whiplash injuries.
  • Headaches stemming from other physical traumas remain largely unrecognized in medical literature.

Observation:

  • A study examined 15 patients with chronic headaches following non-head/whiplash physical trauma.
  • Headache characteristics, onset, and pain management were recorded, classifying them per International Headache Society criteria.
  • Other post-traumatic symptoms and litigation status were also documented.

Findings:

  • Headache onset intervals mirrored those seen in head/whiplash trauma cases.
  • The majority (13/15) presented with chronic tension-type headaches; two had migraines.

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  • Physical injuries were minor or undetectable in most patients, and symptom fabrication for financial gain was not apparent.

    • Implications:

    • This research suggests a distinct category of unrecognized post-traumatic headaches linked to physical trauma.
    • The findings indicate that the physical injury itself may not be the direct cause of these headaches.
    • Altered mental states are proposed as a potential contributing factor, and the similarities to head/whiplash trauma headaches suggest these may also not solely result from structural damage.