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In Vivo Protocol of Controlled Subconcussive Head Impacts for the Validation of Field Study Data
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Sport-Related Headache.

Sylvia Lucas1, Heidi K Blume2

  • 1Department of Neurological Surgery, University of Washington Medical Center, Seattle Sports Concussion Program, Harborview Medical Center, Box 359924, 325 Ninth Avenue, Seattle, WA 98104, USA.

Neurologic Clinics
|July 5, 2017
PubMed
Summary
This summary is machine-generated.

Post-traumatic headache (PTH) is common after mild traumatic brain injury (TBI), often presenting as migraine. Effective management of sports-related headaches requires recognizing PTH severity and treating it based on primary headache characteristics.

Keywords:
ConcussionMigrainePostconcussive syndromePosttraumatic headacheSports concussionTension-type headache

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Area of Science:

  • Sports Medicine
  • Neurology
  • Traumatology

Background:

  • Headache is a prevalent symptom following sports-related concussions and traumatic brain injuries (TBI).
  • Post-traumatic headache (PTH) incidence and prevalence are notably higher after mild TBI compared to moderate or severe TBI.
  • The severity of PTH correlates with its frequency.

Purpose of the Study:

  • To review the characteristics and management of headaches occurring in a sports setting, particularly post-concussion.
  • To highlight the commonality of migraine or probable migraine as the primary headache type after TBI.
  • To emphasize the importance of recognizing headache severity for effective treatment.

Main Methods:

  • Literature review and expert opinion synthesis regarding sports-related headaches and TBI.
  • Analysis of primary and secondary headache classifications in the context of sports injuries.
  • Evaluation of current management strategies for post-traumatic headache.

Main Results:

  • Headaches in sports can be primary or secondary, with headache being the hallmark symptom of concussion.
  • Mild TBI is associated with a higher cumulative incidence and prevalence of PTH than moderate to severe TBI.
  • Migraine or probable migraine is the most frequent headache diagnosis post-TBI, irrespective of injury severity.

Conclusions:

  • Management of PTH should be guided by the clinical features of primary headaches.
  • Recognizing the severity of the headache is paramount for tailoring the empiric treatment approach.
  • A systematic approach to diagnosing and managing sports-related headaches is essential for athlete recovery.