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Related Experiment Videos

[Post-traumatic headache]

M Keidel1, H C Diener

  • 1Neurologische Klinik mit Poliklinik der Universität Essen.

Der Nervenarzt
|January 24, 1998
PubMed
Summary
This summary is machine-generated.

Posttraumatic headache (PH) affects 90% of patients after head trauma or whiplash injury, often presenting as tension-type headaches. While most cases resolve within six months, chronic PH can occur, influenced by various prognostic factors.

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Area of Science:

  • Neurology
  • Traumatology

Context:

  • Head trauma (HT) and whiplash injury (WI) frequently lead to posttraumatic headache (PH), affecting approximately 90% of patients.
  • PH commonly manifests as occipital, dull-pressing, or dragging tension-type headaches, typically resolving within weeks.

Purpose:

  • To review the characteristics, prognosis, and management of posttraumatic headaches following head trauma and whiplash injuries.
  • To identify factors influencing the duration and chronicity of posttraumatic headaches.

Summary:

  • The majority of PH cases are tension-type headaches, with a significant portion experiencing remission within six months.
  • Chronic PH (lasting over 4 years) affects 20% of patients, with unfavorable prognostic factors including age over 40, lower socioeconomic status, and prior head trauma.
  • Prolonged PH in whiplash injury patients is associated with severe initial headache, reduced cervical spine mobility, depressive mood, and pre-existing headaches.

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Impact:

  • Understanding PH characteristics and prognostic factors aids in timely diagnosis and appropriate management strategies.
  • Effective treatment involves acute interventions like analgesics and chronic management with thymoleptics, alongside physical and psychological therapies.
  • Early resolution of medico-legal aspects is recommended to facilitate patient recovery.