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]

• Pain

  KEYWORDS: brain injury; pain adaptation; pain modulation; post-traumatic headache [ncbi.nlm.nih.gov]

• Disability

  Results In patients with chronic PTH, increased PTSD symptoms were significantly associated with increased headache disability (p Conclusion Increased PTSD severity is significantly associated with increased headache disability in patients with chronic [jnnp.bmj.com]

  Abstract Post-traumatic headache (PTH) is an important public health issue - head injuries are common, headache is the most common sequelae of head injuries, and PTH can be particularly disabling. [ncbi.nlm.nih.gov]

  Results: Increased PTSD-type symptoms were significantly associated with increased headache disability ( p p =0.049 and 0.016, respectively). Age was negatively correlated with headache disability (Spearman’s correlation rho=0.361, p =0.001). [dovepress.com]

  As a matter of facts, headaches are ranked in the top ten, and maybe the top five, causes of disability worldwide: they are therefore extraordinarily common. [books.google.com]

• Fatigue

  We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition. Last updated: May 13, 2019 [patientslikeme.com]

  […] vomiting Changes in the sense of smell or taste Trouble concentrating Ringing in the ears Sensitivity to noise Sensitivity to light Anxiety Depression Trouble sleeping Muscle contractions in the head, neck, back and shoulders Sensation of spinning, vertigo Fatigue [migraine.com]

  Common symptoms of post-traumatic headache include: Pulsating head pain of moderate to severe intensity Headaches worsen with physical or mental exertion Cognitive difficulties Anxiety and personality changes Double vision Insomnia Fatigue Neck pain Dizziness [hiltonheadcosmeticdentistry.com]

  In addition to chronic headache, the following symptoms are also associated with a closed head injury: Personality change Impaired memory Impaired concentration Reduced attention span Easy distractibility Fatigue Dizziness or lightheadedness Irritability [neurohealth.info]

  These headaches include symptoms like: Moderate to severe pain Pulsating sensation Nausea and vomiting Sound/light sensitivity Worsened pain with activity Dizziness Fatigue Problems with concentration and memory Mood and personality changes ff What is [yourmigrainedoctor.com]

• Weakness

  Review of systems was positive for left lower extremity weakness and hearing loss since her injury. On physical exam, she was pleasant and not in distress. She was alert and oriented to person, place and circumstance. [alliedmedtraining.com]

  Focal neurological symptoms (eg, limb weakness, aura 1 hour). Non-focal neurological symptoms (eg, cognitive disturbance). Abnormal neurological examination. Headache features First or worst headache of the patient's life. [patient.info]

• Asymptomatic

  BACKGROUND: No evidence is available on the risks of neurologically asymptomatic minimal traumatic intracranial hemorrhage (mTIH) in patients with traumatic brain injury (TBI) for post-traumatic headache (PTH). [ncbi.nlm.nih.gov]

• Heart Disease

  […] like: Diabetes Obesity Heart disease Chronic pain ff Chronic pain, for instance, presents in approximately 20-30% of PTSD patients. [yourmigrainedoctor.com]

  If you have PTSD, you are at higher risk of developing a number of different physical health problems, such as diabetes, obesity, heart disease, and pain. [verywell.com]

  It is also highly associated with other diseases such as stroke, heart disease, epilepsy, depression, chronic pain, among others. [ihs-headache.org]

  Exclusion Criteria: History of ischemic heart disease (angina pectoris, history of myocardial infarction, silent ischemia, Prinzmetal's angina/coronary vasospasm, ischemic bowel disease, or peripheral vascular disease) based on self-report or history [clinicaltrials.gov]

• Hypertension

  hypertension secondary to hydrocephalus 7.2. [curadeldolore.altervista.org]

  Papilloedema (intracranial tumours, adult idiopathic intracranial hypertension). Fever (infections, systemic illness). Features of hypothyroidism. [patient.info]

  Uncontrolled hypertension at initial visit (sitting systolic pressure > 140 mm Hg, diastolic pressure > 90 mm Hg). Impaired renal or liver function by medical history. [clinicaltrials.gov]

• Neck Pain

  Types of injuries that cause post-traumatic headaches Violence Motor vehicle or motorcycle accident Falls Bicycle accidents Sports injuries Symptoms of post-traumatic headaches Head pain Neck pain Headaches made worse by exertion, coughing, bending over [migraine.com]

  Sources of Head Pain There are many different sources of head and neck pain, both inside and outside the head. The brain is not a source of pain as it has no feeling. There are many other areas of the body that can cause headaches. [lapublishing.com]

  Early complaints of the pain that they suffer may be head and neck pain. They are often accompanied by nausea, dizziness and disorientation. All of these symptoms can trigger an emotional response such as depression or anxiety. [braininjuryhelp.com]

  Common symptoms of post-traumatic headache include: Pulsating head pain of moderate to severe intensity Headaches worsen with physical or mental exertion Cognitive difficulties Anxiety and personality changes Double vision Insomnia Fatigue Neck pain Dizziness [hiltonheadcosmeticdentistry.com]

  associated at the time with neck pain Headache develops within 7 days after whiplash injury Headache persists for more than 3 months after whiplash injury Post-Traumatic Headache due to Mild Traumatic Brain Injury Post-Traumatic Headaches are oftentimes [rozeklaw.com]

• Tinnitus

  Less common symptoms are photophobia, phonophobia, tinnitus, and easy fatigability.” Solomon S. Posttraumatic migraine. Headache 1998;38:772-778. Teasell RW, McCain GA. [correctivechiropracticokc.com]

  Blurring of vision, photophobia, phonophobia, tinnitus, impaired libido, disordered sleep, and easy fatigue are often noted. Psychologic features include depression, anxiety, change in personality, irritability with angry outbursts, or apathy. [touchneurology.com]

  […] falls. [13] About 10% of people with PCS develop sensitivity to light or noise, about 5% experience a decreased sense of taste or smell, and about 14% report blurred vision. [12] People may also have double vision or ringing in the ears, also called tinnitus [en.wikipedia.org]

• 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]

• Dizziness

  The result supports the hypothesis of a cervical mechanism causing post-traumatic headache and suggests that post-traumatic dizziness, visual disturbances and ear symptoms could be part of a cervical syndrome. [ncbi.nlm.nih.gov]

  Of the somatic symptoms, headache and dizziness are the most common. The headache has qualities of tension-type headache or migraine or both. Dizziness may range from lightheadedness to vertigo. [correctivechiropracticokc.com]

  Although it is most frequently associated with a variety of symptoms such as dizziness, insomnia, difficulties in concentration and mood and personality changes, headache dominates the clinical picture. [headaches.org]

  Since her injury, she has also had problems with mild balance, dizziness, and mild cognitive deficits. Her dizziness occurs most days, is generally present at the end of the day, and is aggravated by stress and sensory overload. [alliedmedtraining.com]

• Vertigo

  Dizziness may range from lightheadedness to vertigo. Less common symptoms are photophobia, phonophobia, tinnitus, and easy fatigability.” Solomon S. Posttraumatic migraine. Headache 1998;38:772-778. Teasell RW, McCain GA. [correctivechiropracticokc.com]

  […] vomiting Changes in the sense of smell or taste Trouble concentrating Ringing in the ears Sensitivity to noise Sensitivity to light Anxiety Depression Trouble sleeping Muscle contractions in the head, neck, back and shoulders Sensation of spinning, vertigo [migraine.com]

  […] symptoms of post-traumatic headache include: Pulsating head pain of moderate to severe intensity Headaches worsen with physical or mental exertion Cognitive difficulties Anxiety and personality changes Double vision Insomnia Fatigue Neck pain Dizziness or vertigo [hiltonheadcosmeticdentistry.com]

  It's also common for people with PTH to experience: balance problems memory problems concentration problems shortened attention span problems performing multiple tasks at the same time vertigo sleep disturbances acquired intolerance to alcohol Diagnosis [healthcentral.com]

  It is characterised by severe head pain, cognitive impairment, nausea, vomiting, dizziness, vertigo, and sensitivity to light, sound, and touch. [ihs-headache.org]

• Exertional Headache

  Migraine With Aura - the Basics Migraine Without Aura - the Basics New Daily Persistent Headache - The Basics Paroxysmal Hemicrania - The Basics Primary Exertional Headache - The Basics Pseudotumor Cerebri (IIH) - The Basics Retinal Migraine - The Basics [healthcentral.com]

  […] complicated headache syndrome G44.8 Other specified headache syndromes G44.81 Hypnic headache G44.82 Headache associated with sexual activity Inclusion term(s): Orgasmic headache Preorgasmic headache G44.83 Primary cough headache G44.84 Primary exertional [icd10coded.com]

  Headache precipitated by physical exertion or Valsalva manoeuvre (eg, coughing, laughing, straining). Headache onset with exertion or sex. Neurological red flag features Headache onset with seizure or syncope (subarachnoid haemorrhage). [patient.info]

• Apathy

  Psychologic features include depression, anxiety, change in personality, irritability with angry outbursts, or apathy. [touchneurology.com]

  […] about half of people with PCS, may include irritability, anxiety, depression, and a change in personality. [12] Other emotional and behavioral symptoms include restlessness, [16] aggression, [17] and mood swings. [15] [18] Some common symptoms, such as apathy [en.wikipedia.org]

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]

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]

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]

There is no evidence that an abnormality in any of these changes the prognosis or contributes to treatment. These studies should not be considered routine for patients with ongoing post-traumatic headache. [shaperoheadache.com]

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]

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]

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]

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]