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Posttraumatic Headache.

Brigid Dwyer1,2

  • 1Department of Neurology, Boston University School of Medicine, Boston, Massachusetts.

Seminars in Neurology
|December 7, 2018
PubMed
Summary
This summary is machine-generated.

Posttraumatic headaches are a common and debilitating issue following mild traumatic brain injury (mTBI). Understanding the diverse headache types and effective treatments is crucial for patient recovery.

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Area of Science:

  • Neurology
  • Traumatology

Background:

  • Posttraumatic headaches (PTH) are a significant challenge after mild traumatic brain injury (mTBI), affecting up to 90% of patients.
  • Female patients and those with a history of primary headaches are particularly susceptible to developing PTH.
  • While tension headache was historically common, migraine now dominates in military populations.

Purpose of the Study:

  • To explore the complexities of posttraumatic headaches following mild traumatic brain injury.
  • To highlight the spectrum of headache types encompassed by posttraumatic headache.
  • To emphasize the challenges in diagnosing and treating the multidomain drivers of PTH.

Main Methods:

  • Review of existing literature on posttraumatic headaches and mild traumatic brain injury.
  • Analysis of headache subtypes, including primary and secondary headache disorders.
  • Consideration of the evolution of postconcussion syndrome.

Main Results:

  • Posttraumatic headache presents a wide range of headache types, overlapping with primary headache disorders and autonomic cephalgias.
  • Diagnosis and effective treatment of PTH are complicated by multidomain factors.
  • Treatment strategies for PTH often mirror those for non-traumatic headaches but require additional considerations.

Conclusions:

  • Posttraumatic headaches are a complex and prevalent issue after mTBI, requiring comprehensive management.
  • Effective treatment necessitates addressing cognitive side effects, epilepsy risk, and coexisting pain conditions.
  • Further research into the specific mechanisms and tailored treatments for diverse PTH presentations is warranted.