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Posttraumatic headache

R C Packard, L P Ham

    The Journal of Neuropsychiatry and Clinical Neurosciences
    |January 1, 1994
    PubMed
    Summary
    This summary is machine-generated.

    Posttraumatic headache (PTH) is a common, often severe, symptom after head injury. Despite common beliefs, PTH can persist long-term, impacting daily life and requiring comprehensive patient care.

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    Area of Science:

    • Neurology
    • Trauma Medicine
    • Pain Management

    Background:

    • Posttraumatic headache (PTH) is a frequent consequence of head injuries.
    • PTH severity is paradoxically higher after mild head trauma.
    • While often temporary, PTH can become chronic or permanent in many individuals.

    Purpose of the Study:

    • To review the characteristics and management of posttraumatic headache.
    • To address the controversy surrounding the "reality" of PTH due to lack of objective findings.
    • To highlight the long-term impact of PTH on patients' lives and challenge misconceptions about its resolution.

    Main Methods:

    • Literature review of studies on posttraumatic headache.
    • Analysis of the clinical presentation and chronicity of PTH.

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  • Examination of the impact of PTH on patient function and the effectiveness of current beliefs regarding its resolution.

    • Main Results:

    • PTH is the most common symptom after head injury, often most severe after mild injuries.
    • A significant number of patients experience protracted or permanent PTH, even years after legal settlements.
    • Contrary to some beliefs, PTH frequently persists post-legal settlement and affects quality of life.

    Conclusions:

    • Posttraumatic headache is a real and often persistent condition requiring proper evaluation and treatment.
    • Patient education and support are crucial for managing PTH.
    • Challenging misconceptions among healthcare providers, legal professionals, and insurers is necessary for adequate patient care.