Presentation
We found the phenomenology to be very heterogeneous, but the vast majority (77%) of patients presented with headache resembling chronic tension-type headache, either as the only manifestation or in combination with migraine symptoms. [ncbi.nlm.nih.gov]
This unusual presentation of post-traumatic headache highlights the varying presentations and the potential sequelae of intracranial hypotension. [mdpi.com]
The patient was a 38-year-old woman who presented with complaint of headache. Printed with permission from the University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine. Figure 1. [jaoa.org]
Entire Body System
- Forearm Pain
Testing included the measurement of heat-pain (HPT) and pressure-pain (PPT) thresholds in the forehead and forearm, pain adaptation to tonic noxious heat, and conditioned pain modulation (CPM).The participants completed a post-traumatic stress disorder [ncbi.nlm.nih.gov]
- Fishing
Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy products, beans, lean meats, and fish. Do not eat foods that trigger your headaches. Exercise regularly. Exercise helps decrease stress and headaches. [drugs.com]
Musculoskeletal
- Tinel's Sign
“Location and distribution of pain, a positive Tinel’s sign over the occipital nerve, and resolution after occipital nerve block provide historical clues, diagnostic [confirmation], and therapeutic benefits,” Dr Williams advised. [neurologyadvisor.com]
Psychiatrical
- Suggestibility
The author suggests that migraine is an “inborn biochemical dysfunction” that may be triggered by a traumatic event. This is a bit of an overstatement, as there is no definitive proof of such “inborn dysfunction” in the literature. [correctivechiropracticokc.com]
The results suggest that PTC may arise after a period longer than is accepted at the present by the IHS. [ncbi.nlm.nih.gov]
Recent Findings: Current epidemiological studies suggest that previous estimates of concussion and mTBI incidence are grossly underestimated and have also helped to identify specific activities and demographic groups that might be more susceptible. [mayoclinic.pure.elsevier.com]
Neurologic
- Headache
Migraine-like headache was the most common presentation followed by tension-type headache. Other children had either mixed or unclassified headache disorders. KEYWORDS: children; post-traumatic headache; postconcussion syndrome [ncbi.nlm.nih.gov]
- Hyperalgesia
The cranial mechanical hyperalgesia may originate from peripheral tissue damage accompanying the THI. Psychological factors may contribute to the development, and maintenance of CPTHA in susceptible individuals. [ncbi.nlm.nih.gov]
Workup
Summary: Despite numerous advances in the awareness, pathophysiology, and diagnostic workup of concussion, mTBI, and PTH, there is a paucity of evidence-based guidance regarding treatment. [mayoclinic.pure.elsevier.com]
An extensive workup was carried out under the direction of the patient's primary neurologist. Secondary to persistent intractable pain, the patient was referred to the pain clinic for further evaluation. [ncbi.nlm.nih.gov]
EEG
- Epileptiform Activity
EEG studies showed that 18% of these children had nonspecific paroxysmal changes and 6% showed epileptiform activity. [ncbi.nlm.nih.gov]
Treatment
CONCLUSIONS: No strong evidence from clinical trials is available to direct the treatment of PTHA. Some guidelines are offered for PTHA management based on primary headache categories and treatments. [ncbi.nlm.nih.gov]
Prognosis
The clinical features of PTH are those of primary headache disorders such as migraine and tension-type headache and usually follow a favorable prognosis. [ncbi.nlm.nih.gov]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Chronic post-traumatic headache (PTH) is one of the most common complaints after mild traumatic brain injury, yet evidence to date is insufficient to direct conventional treatment of headaches with this etiology. [ncbi.nlm.nih.gov]
Etiology There are multiple sources of head and neck pain, both inside and outside of the head. The brain itself, interestingly, is not a source of pain. [internationalbrain.org]
Epidemiology
This brief review highlights recent advances in the epidemiology, evaluation, and management of concussion, mTBI, and PTH. [mayoclinic.pure.elsevier.com]
Problems with the diagnosis include issues related to classification, epidemiology, pathophysiology (psychogenic vs. organic) and treatment. [ncbi.nlm.nih.gov]
Pathophysiology
Contrary to the latter, there are instances when mild head injury without symptoms or signs of concussion may evoke the pathophysiological changes of migraine. [ncbi.nlm.nih.gov]
Prevention
While there are few studies examining abortive medications for PTH, recent studies of preventive medications examine the efficacy of topiramate, and topiramate may be better than other oral preventive medications. [ncbi.nlm.nih.gov]
Pain medicines can help prevent or treat headache pain. Headache pain is easier to control if you take pain medicine as soon as you start to feel pain. You will need to limit pain medicines to prevent a condition called rebound headaches. [drugs.com]