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Imaging Post-Traumatic Headache.

Jill C Rau1, Gina M Dumkrieger1, Catherine D Chong1

  • 1Mayo Clinic Arizona, 5777 East Mayo Boulevard, Phoenix, AZ, 85054, USA.

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PubMed
Summary
This summary is machine-generated.

Imaging studies are crucial for understanding post-traumatic headache (PTH) after mild traumatic brain injury (mTBI). Research suggests distinct imaging findings for PTH, but more work is needed to establish diagnostic and prognostic value.

Keywords:
ConcussionDiffusion tensor imagingMagnetic resonance imagingMagnetic resonance spectroscopyMild traumatic brain injuryPost-traumatic headache

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Area of Science:

  • Neuroscience
  • Radiology
  • Trauma Care

Background:

  • Post-traumatic headache (PTH) is a common and disabling consequence of mild traumatic brain injury (mTBI).
  • The pathophysiology and optimal treatments for PTH remain poorly understood.
  • Current clinical guidelines lack specific recommendations for imaging in PTH patients.

Purpose of the Study:

  • To review and summarize findings from neuroimaging studies in the clinical and research evaluation of PTH.
  • To explore the potential of various imaging techniques in understanding PTH pathophysiology.
  • To identify potential diagnostic and prognostic imaging biomarkers for PTH.

Main Methods:

  • Review of published literature on imaging studies in patients with PTH.
  • Inclusion of research employing techniques such as proton spectroscopy MRI, diffusion tensor imaging, and magnetic resonance morphometry.
  • Consideration of imaging guidelines for mTBI in emergency settings.

Main Results:

  • No established guidelines exist for imaging in PTH; clinical judgment is key for identifying secondary causes.
  • Research imaging techniques show potential for identifying PTH-specific pathophysiologic mechanisms.
  • Preliminary findings suggest distinct imaging signatures for PTH compared to mTBI, with regional cortical thickness changes and white matter tract damage noted.

Conclusions:

  • Advanced imaging techniques offer promise for elucidating PTH pathophysiology and providing diagnostic/prognostic indicators.
  • Further research is essential to validate these imaging findings and integrate them into clinical practice for PTH classification and prognosis.
  • Imaging findings in PTH may differ from those solely related to mTBI, necessitating specialized investigation.