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Pediatric posttraumatic headache: two cases using steroids as abortive therapy.

Harry Bramley1, Christopher Melinosky, Matthew Silvis

  • 1Department of Pediatrics, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USA. hbramley@hmc.psu.edu

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Steroids may effectively treat severe posttraumatic headaches in children following brain injuries. This study offers insights into managing acute pain and preventing future headaches in pediatric patients.

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Area of Science:

  • Neurology
  • Pediatric Medicine
  • Trauma Surgery

Background:

  • Pediatric traumatic brain injury (TBI) is frequent, with mild injuries potentially causing disabling headaches.
  • Post-TBI headaches can be persistent and resistant to standard treatments.
  • Limited clinical trial data exists for pediatric post-TBI headache management.

Observation:

  • Two pediatric cases of severe posttraumatic headache (PTH) were analyzed.
  • Patients experienced unremitting symptoms refractory to conventional therapies.
  • Steroid intervention was explored for symptom relief.

Findings:

  • Steroids demonstrated effectiveness in managing severe PTH in the observed cases.
  • The study highlights potential treatment strategies for acute pain.
  • Recommendations for preventing recurrent or persistent headaches are proposed.

Implications:

  • This research suggests steroids as a viable treatment option for severe pediatric PTH.
  • It addresses the gap in clinical recommendations due to sparse data.
  • The findings may guide future clinical practice and research in TBI headache management.