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Updated: May 24, 2026

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Systems Analysis of the Neuroinflammatory and Hemodynamic Response to Traumatic Brain Injury
Published on: May 27, 2022
Systematic review of interventions for post-traumatic headache
Thomas K Watanabe1, Kathleen R Bell, William C Walker
1Department of Physical Medicine and Rehabilitation, MossRehab at Elkins Park/Albert Einstein Medical Center, 60 Township Line Rd, Elkins Park, PA 19027, USA. watanabt@einstein.edu
Summary
Post-traumatic headache (PTHA) lacks strong clinical trial evidence for effective treatments. Further high-quality research is crucial for developing evidence-based management and prevention strategies for PTHA.
Area of Science:
- Neurology
- Trauma Care
- Evidence-Based Medicine
Background:
- Headache is a prevalent symptom following traumatic brain injury (TBI).
- Effective management strategies for post-traumatic headache (PTHA) are needed.
- Current literature has gaps in understanding PTHA treatment efficacy.
Purpose of the Study:
- To determine effective interventions for PTHA.
- To develop treatment recommendations for PTHA.
- To identify research gaps and suggest future directions for PTHA management.
Main Methods:
- Systematic review of peer-reviewed studies published since 1985.
- Inclusion of studies on adult and child TBI, whiplash, and postconcussion syndrome.
- Data extraction and quality rating using American Academy of Neurology criteria.
Main Results:
- No Class I or Class II studies were found for PTHA management.
- Limited Class III studies were identified for PTHA.
- One Class I and one Class II study addressed headache in whiplash-associated disorder.
Conclusions:
- There is a lack of robust clinical trial evidence for PTHA treatment.
- Guidelines for PTHA management are based on primary headache categories.
- Well-designed studies are essential to guide PTHA management and prevent chronicity.
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