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[Commotio cerebri and headache: (author's transl)].
MMW, Munchener Medizinische Wochenschrift
|April 8, 1977
Summary
Post-concussion headaches stem from extracranial issues like scar tissue or cervical spine injury, and diffuse vasomotor cephalalgia due to circulation regulation disorders. Treatment varies based on headache origin, including medication, anesthesia, and psychological support.
Area of Science:
- Neurology
- Neuroscience
- Traumatology
Context:
- Headaches are a common and significant symptom following brain concussion.
- Understanding the diverse origins of post-concussion headaches is crucial for effective management.
- This study investigates both extracranial and diffuse causes of headaches post-brain injury.
Purpose:
- To differentiate the origins of headaches after brain concussion.
- To outline therapeutic strategies tailored to specific headache types.
- To provide a comprehensive overview of post-concussion headache management.
Summary:
- Post-concussion headaches can arise from extracranial sources, such as neuralgias in scar tissue or hematomas, and injuries to the cervical spine.
- Diffuse headaches, or vasomotor cephalalgia, are linked to central circulatory regulation disorders, often influenced by psychogenic factors and compensatory neurosis.
- Therapeutic approaches include vasoactive substances for vasomotor cephalalgia, immobilization and local anesthesia for neuralgias, and psychopharmacological and psychotherapeutic interventions for psychogenic complaints.
Impact:
- Provides a framework for diagnosing and treating diverse headache presentations after concussion.
- Highlights the importance of a multi-modal therapeutic approach.
- Aids clinicians in selecting appropriate treatments based on headache etiology, improving patient outcomes.