Edit concept Question Editor Create issue ticket

Post Traumatic Headache

Post Concussion Headache


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]
Military Personnel
  • OBJECTIVE: The current study used a cross-sectional observational design to evaluate the relationship between psychological, physiological, and contextual factors and headache severity among 133 deployed military personnel and 4 civilian contractors diagnosed[ncbi.nlm.nih.gov]
  • Post-traumatic headaches in civilians and military personnel: A comparative, clinical review . Headache 2013;53:881-900. Mayer CL, Huber BR, Peskind E. Traumatic brain injury, neuroinflammation, and post-traumatic headaches .[headachejournal.org]
  • PTSD has received growing attention because of its high prevalence in military personnel returning from combat zones. Various manifestations of severe anxiety associated with psychologic trauma are the hallmarks of PTSD.[touchneurology.com]
  • There remains a significant need for multicenter, prospective, randomized trials on PTHA involving incidence, prevalence, prognosis, assessment and treatment in both civilian and military personnel.[internationalbrain.org]
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]
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]
Pseudotumor
  • 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]
Exertional Cough
  • 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]
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]
Distractibility
  • 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]
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]
Orgasmic Headache
  • headache Preorgasmic headache G44.83 Primary cough headache G44.84 Primary exertional headache G44.85 Primary stabbing headache G44.89 Other headache syndrome Abbreviations used here: NEC Not elsewhere classifiable This abbreviation in the Tabular List[icd10coded.com]

Workup

  • 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]
  • 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]
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]
  • Her traumatic brain injury occurred after a fall with loss of consciousness of unclear etiology. The fall resulted in a depressed skull fracture and left frontal epidural hemorrhage. She was treated with a craniotomy and plate placement.[alliedmedtraining.com]

Epidemiology

  • Problems with the diagnosis include issues related to classification, epidemiology, pathophysiology (psychogenic vs. organic) and treatment.[ncbi.nlm.nih.gov]
  • This brief review highlights recent advances in the epidemiology, evaluation, and management of concussion, mTBI, and PTH.[mayoclinic.pure.elsevier.com]
Sex distribution
Age distribution

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]
  • As a result, the most effective preventive and treatment options remain unclear, Naugle said.[archive.news.iupui.edu]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!