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Posttraumatic headache is a distinct headache type from migraine
Keiko Ihara1,2, Todd J Schwedt3
1Japanese Red Cross Ashikaga Hospital, Ashikaga.
Current Opinion in Neurology
|January 31, 2024
Summary
Posttraumatic headache (PTH) is a common secondary headache after injury, often resembling migraine. Research suggests PTH is distinct from migraine, warranting separate investigation into its causes and treatments.
Area of Science:
- Neurology
- Traumatology
Background:
- Posttraumatic headache (PTH) is a frequent secondary headache following injury, often linked to mild traumatic brain injury (mTBI).
- Pre-existing headaches increase PTH risk, and symptoms can mimic primary headaches like migraine or tension-type headache.
- The relationship between PTH and primary headaches is a focus for researchers and clinicians.
Purpose of the Study:
- To review recent findings on PTH, focusing on its distinction from migraine.
- To emphasize the need for independent research into PTH's epidemiology, pathophysiology, diagnosis, treatment, and prognosis.
Main Methods:
- Review of recent epidemiological studies.
- Analysis of research on headache features, risk factors, and imaging.
- Evaluation of treatment response data.
Main Results:
- Recent studies indicate overlapping features but also distinct objective findings in PTH compared to migraine.
- Evidence suggests PTH may have unique characteristics differentiating it from primary headache disorders.
Conclusions:
- Posttraumatic headache (PTH) is proposed as a distinct entity separate from migraine.
- Further research dedicated to PTH, independent of migraine studies, is crucial for advancing understanding and treatment.
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