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Post-traumatic headache.

M Wilkinson, E Gilchrist

    Upsala Journal of Medical Sciences. Supplement
    |January 1, 1980
    PubMed
    Summary

    Post-traumatic headache incidence is surprisingly low in severe head injury patients. Headaches were less common with greater injury severity, except in cases with significant mental changes.

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    Area of Science:

    • Neurology
    • Traumatology
    • Epidemiology

    Background:

    • Post-traumatic headache (PTH) incidence varies across studies.
    • Severe head injuries often lead to prolonged unconsciousness.
    • Understanding PTH prevalence is crucial for patient management.

    Purpose of the Study:

    • To determine the incidence of post-traumatic headache in patients with severe head injuries.
    • To explore the relationship between injury severity and headache occurrence.
    • To investigate factors associated with headache development after severe head trauma.

    Main Methods:

    • Retrospective analysis of 84 patients (aged 11-38) with severe head injuries.
    • Assessment of injury severity based on duration of unconsciousness and physical disabilities.
    • Evaluation of mental changes and headache incidence post-injury.

    Main Results:

    • Only 12% of patients reported headaches.
    • Headache incidence was inversely correlated with physical disability and unconsciousness duration.
    • Patients with severe mental changes exhibited a higher incidence of headaches.

    Conclusions:

    • Severe head injuries may not always result in post-traumatic headaches.
    • Injury severity and cognitive/mental status significantly influence PTH development.
    • Further research is needed to elucidate the complex pathophysiology of PTH in severe TBI.

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