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Related Concept Videos

Post-traumatic Stress Disorder01:27

Post-traumatic Stress Disorder

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Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
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Traumatic Memory01:20

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Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Post-traumatic headaches.

Ronald G Riechers1, Mark F Walker1, Robert L Ruff2

  • 1Neurology and PolyTrauma Services, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH, USA; Department of Neurology, Case Western Reserve University School of Medicine, Cleveland, OH, USA.

Handbook of Clinical Neurology
|February 23, 2015
PubMed
Summary
This summary is machine-generated.

Headaches are a common complication following mild traumatic brain injury (TBI), often presenting as mixed headache disorders. Management strategies for post-traumatic headaches involve both medication and non-medication approaches.

Keywords:
Traumatic brain injury (TBI)behavioral medicinemigraine headachepostconcussive symptomstension-type headache

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Area of Science:

  • Neurology
  • Pain Medicine
  • Trauma Research

Background:

  • Headaches are a frequent complication of traumatic brain injury (TBI).
  • Milder TBIs are paradoxically more likely to result in headaches.
  • Headache presentation is often a mixed disorder, combining tension-type and migrainous features.

Purpose of the Study:

  • To explore the incidence and characteristics of headaches following TBI.
  • To review the underlying mechanisms contributing to post-traumatic headaches.
  • To outline current and potential management strategies for post-traumatic headaches.

Main Methods:

  • Literature review of studies on TBI and headache.
  • Analysis of clinical presentations of post-traumatic headaches.
  • Synthesis of pharmacologic and non-pharmacologic treatment approaches.

Main Results:

  • Trauma can induce headaches through altered neuronal signaling, inflammation, and musculoskeletal changes.
  • Treatment is guided by headache characteristics, utilizing abortive and prophylactic pharmacologic agents.
  • Non-pharmacologic interventions include physical modalities and cognitive behavioral therapy.

Conclusions:

  • Post-traumatic headaches are common, particularly after mild TBI.
  • Effective management requires a comprehensive approach addressing headache type and comorbidities.
  • While headaches may resolve, up to 25% of patients experience chronic long-term headaches.