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Chronic post-traumatic headache in pediatrics

Ishaq Abu-Arafeh1, Rachel Howells

  • 1Royal Hospital for Sick Children, Glasgow, G3 8SJ, UK.

Pain Management
|October 11, 2014
PubMed

Insights

Post-traumatic headache (PTH) in children can occur after head injuries, presenting similarly to primary headaches like migraines. Management should focus on the child

Area of Science:

  • Pediatric Neurology
  • Traumatic Brain Injury Research

Background:

  • Headaches and minor head injuries are frequent in children.
  • Post-traumatic headache (PTH) is defined as a new or worsening headache after a head injury.
  • PTH can be acute (resolving within 3 months) or chronic (persisting beyond 3 months).

Purpose of the Study:

  • To review the understanding of post-traumatic headache (PTH) in pediatric populations.
  • To discuss the proposed mechanisms and clinical features of PTH.
  • To guide appropriate investigation and management strategies for pediatric PTH.

Main Methods:

  • Literature review on pediatric post-traumatic headache.
  • Synthesis of proposed pathogenetic mechanisms.
  • Analysis of clinical presentations and diagnostic considerations.

Main Results:

  • The pathogenesis of PTH remains incompletely understood, with proposed mechanisms including axonal injury and metabolic disturbances.
  • Clinical features of PTH often mimic primary headache disorders, such as migraine and tension-type headache.
  • PTH generally follows a favorable prognosis in children.

Conclusions:

  • Investigations and management for pediatric PTH should be tailored to the specific headache type and the child's clinical needs.
  • Understanding the similarities between PTH and primary headaches is crucial for effective diagnosis.
  • Further research into PTH pathogenesis may improve targeted treatments.

Keywords:
adolescentschildhoodhead injuryhead traumaheadachemigrainepost-traumatic headachepostconcussion syndrometension-type headache

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