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Posttraumatic headache in pediatrics: an update and review

Heidi K Blume1

  • 1Division of Pediatric Neurology, University of Washington, Seattle Children's Hospital and Research Institute, Seattle, Washington, USA.

Current Opinion in Pediatrics
|September 7, 2018
PubMed

Insights

Posttraumatic headache (PTHA) is common in pediatric concussion. Risk factors include female sex and prior headache history, while gradual return to activity aids recovery.

Area of Science:

  • Pediatric neurology
  • Traumatology
  • Neuroscience

Background:

  • Headache is a frequent complication of concussion and mild traumatic brain injury (TBI) in children.
  • There is considerable concern regarding the optimal management of acute and persistent headaches after mild head injuries in pediatric populations.

Purpose of the Study:

  • To review definitions and diagnoses of posttraumatic headache (PTHA).
  • To examine risk factors for persistent postconcussion symptoms and headaches.
  • To summarize current recommendations for evaluating and treating PTHA in youth.

Main Methods:

  • Literature review of recent research on PTHA in pediatrics.
  • Analysis of risk factors for symptom persistence.
  • Evaluation of current treatment efficacy and recommendations.

Main Results:

  • Consistent risk factors for persistent PTHA include female sex, adolescent age, prior concussion history, and migrainous symptoms.
  • Short-term ibuprofen use for acute PTHA may reduce symptoms and improve function.
  • Gradual return to cognitive and physical activities is recommended over complete rest.

Conclusions:

  • PTHA is a significant issue in pediatric concussion management.
  • Identifying risk factors is crucial for proactive management strategies.
  • Evidence supports a phased return to activity and judicious use of medication for PTHA.
Abstract

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