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Posttraumatic headache: caveats and controversies
1Concussion Care Centre of Virginia, Tree of Life, Glen Allen, Virginia.
The Journal of Head Trauma Rehabilitation
|February 9, 1999
Summary
Posttraumatic headache (PTHA) remains poorly understood, with ongoing controversies in its assessment and treatment. This article addresses key issues to improve PTHA management and research.
Area of Science:
- Neurology
- Trauma Medicine
- Headache Medicine
Background:
- Posttraumatic headache (PTHA) is a common yet poorly understood consequence of head injury.
- Significant challenges exist in the assessment and treatment of PTHA.
Purpose of the Study:
- To analyze and discuss current controversies and issues in PTHA.
- To provide insights into nomenclature, classification, incidence, referral, medicolegal aspects, perpetuating factors, and disability assessment.
- To identify research needs and propose recommendations for PTHA management.
Main Methods:
- Expert commentary and analysis of existing literature and clinical challenges.
- Discussion of specific topics including nomenclature, classification, and incidence paradoxes.
- Exploration of referral pathways, medicolegal considerations, and disability assessment.
Main Results:
- Identified numerous controversies in PTHA, including classification inconsistencies and unclear injury severity correlations.
- Highlighted a lack of specialized medical referral for PTHA patients.
- Discussed factors perpetuating PTHA and challenges in impairment/disability assessment.
Conclusions:
- PTHA management is complicated by numerous unresolved issues and controversies.
- Addressing nomenclature, classification, and referral pathways is crucial.
- Further research is needed to improve understanding and treatment of PTHA.