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Published on: February 7, 2025
Pediatric post-traumatic headache
Maria-Carmen B Wilson1, Stanley J Krolczyk
1University of South Florida, Department of Neurology, 12901 Bruce B. Downs Boulevard, MDC 55, Tampa, FL 33612, USA. mcwilson@hsc.usf.edu
Insights
Post-traumatic headache is common in children after head injuries. While often resolving in weeks, chronic cases require comprehensive treatment.
Area of Science:
- Pediatric Neurology
- Traumatology
Background:
- Headaches are frequent following craniocerebral trauma in pediatric populations.
- These headaches can manifest after injuries of varying severity.
Purpose of the Study:
- To describe the characteristics and natural course of post-traumatic headaches in children and adolescents.
- To outline management strategies for chronic post-traumatic headaches in this age group.
Main Methods:
- Review of clinical presentations of post-traumatic headaches.
- Analysis of headache features, associated symptoms, and temporal evolution.
- Discussion of treatment modalities for persistent cases.
Main Results:
- Headaches often present with features of tension-type or migraine.
- Headache is typically part of a broader symptom complex.
- Most cases resolve within 8-12 weeks, but chronicity can occur.
Conclusions:
- Post-traumatic headache in children is a common sequela of head injury.
- Chronic forms necessitate a multidisciplinary approach, mirroring adult management strategies.
Abstract:
Post-traumatic headache after craniocerebral trauma is not an uncommon occurrence in children and adolescents. It can occur after mild, moderate, or severe injury. The headache may have features of tension-type headache, migraine, or probable migraine and is rarely seen in isolation. It is often part of a syndrome encompassing a variety of somatic and psychobehavioral symptoms. In time, the headache and accompanying symptoms gradually resolve over a period of 8 to 12 weeks. However, sometimes it may become chronic, requiring a multidimensional management approach including pharmacologic intervention, physical rehabilitation, and cognitive-behavioral therapy as used in the adult population.
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