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Related Concept Videos

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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.
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Posttraumatic Headache: Clinical Characterization and Management.

Sylvia Lucas1

  • 1University of Washington Medical Center, 1959 NE Pacific St, Seattle, WA, 98195, USA, lucass@uw.edu.

Current Pain and Headache Reports
|August 18, 2015
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Summary
This summary is machine-generated.

Posttraumatic headache (PTH) is a common, persistent symptom following traumatic brain injury (TBI). Most PTH cases resemble migraine or probable migraine, lacking specific treatment guidelines.

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Area of Science:

  • Neurology
  • Traumatology
  • Public Health

Background:

  • Traumatic brain injury (TBI) is a significant global health issue, with millions of cases annually in the USA.
  • Headache is the most frequent symptom reported after TBI, impacting a large proportion of survivors.
  • Understanding the incidence and characteristics of posttraumatic headache (PTH) is crucial for patient management.

Purpose of the Study:

  • To summarize the incidence, prevalence, and clinical features of posttraumatic headache (PTH) following traumatic brain injury (TBI).
  • To identify risk factors and demographic associations with PTH.
  • To review the current understanding of PTH classification and management approaches.

Main Methods:

  • Review of recent longitudinal studies on posttraumatic headache (PTH) incidence and prevalence after moderate, severe, and mild TBI (mTBI).
  • Analysis of risk factors including prior headache history, age, and gender.
  • Evaluation of clinical diagnostic criteria for PTH, comparing them to primary headache disorder classifications.

Main Results:

  • High cumulative incidence of PTH: 71% after moderate/severe TBI and 91% after mTBI at 1 year.
  • Sustained high prevalence: over 44% (moderate/severe TBI) and 54% (mTBI) throughout the year post-injury.
  • PTH commonly meets criteria for migraine or probable migraine; prior headache history increases risk, while older age is protective.

Conclusions:

  • Posttraumatic headache (PTH) is a highly prevalent and persistent condition after TBI, particularly mTBI.
  • Migraine-like features are common in PTH, necessitating tailored treatment strategies.
  • Lack of evidence-based guidelines highlights the need for further research and expert-guided management of PTH.