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Post-COVID Headache: A Literature Review
Nikita Chhabra1, Marie F Grill2, Rashmi B Halker Singh3
1Department of Neurology, College of Medicine and Science, Mayo Clinic, Scottsdale, AZ, USA. chhabra.nikita@mayo.edu.
Current Pain and Headache Reports
|October 5, 2022
Summary
Post-COVID headaches can be a new, persistent, and treatment-resistant condition, often resembling migraine. Understanding these unique headache phenotypes is crucial for effective management.
Area of Science:
- Neurology
- Infectious Disease Epidemiology
Background:
- Headache is a prevalent symptom of COVID-19.
- Post-COVID headache can manifest as a new syndrome or a distinct phenotype in individuals with pre-existing headache disorders.
Observation:
- Headaches post-COVID-19 commonly present as migraine-like or new daily persistent headaches.
- These headaches are frequently moderate to severe, persistent, and refractory to standard treatments.
Findings:
- A clinical case illustrates a new-onset, persistent, holocephalic headache in a patient with a history of episodic migraine, occurring shortly after a COVID-19 diagnosis.
- The patient's new headache type was unresponsive to over-the-counter and typical migraine abortive therapies.
Implications:
- Post-COVID headaches represent a diverse and challenging clinical complication requiring further investigation.
- Effective management strategies for post-COVID headache are needed, especially given pandemic-related resource limitations.
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