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Headache: Posttraumatic Headache.

M Chantel Long1

  • 1Department of Family and Community Medicine at University of Kansas School of Medicine-Wichita, 1010 North Kansas, Wichita, KS 67214-3199.

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|October 23, 2018
PubMed
Summary
This summary is machine-generated.

Posttraumatic headache (PTHA) affects 30-90% of traumatic brain injury patients, with many experiencing persistent symptoms long-term. Tailored management is crucial for recovery.

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Area of Science:

  • Neurology
  • Trauma Care

Background:

  • Posttraumatic headache (PTHA) is a common consequence of head trauma, affecting a significant portion of patients with traumatic brain injury.
  • PTHA can be persistent, with a substantial percentage of individuals experiencing chronic headaches for years post-injury.

Purpose of the Study:

  • To define PTHA and discuss its prevalence and long-term impact.
  • To identify factors influencing PTHA prognosis and management.

Main Methods:

  • Literature review on PTHA incidence, persistence, and influencing factors.
  • Analysis of diagnostic criteria and treatment approaches for PTHA.

Main Results:

  • PTHA incidence ranges from 30% to 90% in TBI patients.
  • Approximately 20% of PTHAs persist at 1 year, and 25% at 4 years.
  • Prognosis is influenced by return-to-play, injury biomechanics, coping resources, medication overuse, and mental health.

Conclusions:

  • PTHA requires careful evaluation, including assessment for postconcussion syndrome and pre-existing conditions.
  • Pharmacotherapy should mirror the patient's primary headache disorder, with management tailored to individual symptoms and comorbidities.