Posttraumatic headache attributed to mild brain injury is a common disorder in military personnel. Migrainous features are predominant among them in comparison with the general population. PTH is not related to a type of trauma, but has association with affective disorders.
ObjectivesThe primary goal of this study was to evaluate the incidence and characteristics of post-traumatic headache (PTH) attributed to mild brain injury in military personnel in Iran within a prospective and observational study design.
MethodsA prospective observational study was conducted with a cohort of military personnel under military education during 6 months period at Amiralmomenin Military education center in Isfahan in Iran. Through all military personnel under education 322 personnel were selected randomly in simple manner were given 13-item Mild brain injury questionnaire accompany with affective disorders and headache questionnaires and were reevaluated in 3 months interval.
ResultsA total of 30 (9.3%) of 322 military personnel met criteria for a mild brain injury. Among them 18 personnel (60%) reported having headaches during 3-month of reevaluation. Patients with affective disorders such as posttraumatic stress disorder (PTSD) and depression were at higher risk for developing PTH following mild brain injury (p<0.05). PTH did not relate to demographic factors such as age or type of trauma. At follow up, PTH had abated in 3 months except in 2 patients developed chronic PTH pattern. We did not observe any significant difference of medications prescribed by practitioners between different classified patterns of PTH (p>0.05).
ConclusionsPTH attributed to mild brain injury is a common disorder in military personnel. Migrainous features are predominant among them in comparison with general population. PTH is not related to type of trauma but has association with affective disorders.No conflict of interest.
Coronary artery aneurysm is a rare clinical entity encountered incidentally 0.3–5% among patients who undergo coronary angiography. Even giant coronary artery aneurysm is much rarer with an incidence of 0.02% among all atherosclerotic cases. Due to rare occurrence and lack of controlled trials, clinical presentation, prognosis and management of giant coronary artery aneurysm are under controversies in the literature. We report a 43-year-old male patient admitted to our hospital with a typical chest pain associated with ST elevation changes in anterior chest leads and elevated cardiac enzymes. Coronary angiography of the patient revealed a large (1.5 cm × 3 cm) aneurysm of proximal left anterior descending coronary artery. We performed a successful surgical excision and coronary bypass surgery. The patient had an uncomplicated course.
This study evaluated the prevalence and characteristics of posttraumatic headaches attributed to mild brain injury in military personnel in Isfahan. Methods: A prospective, observational, descriptive study was conducted with a cohort of military personnel in military training during a 6-month period at the Military Training Center in Isfahan, Iran. A total of 322 military personnel were selected randomly and given a 13-item mild brain injury questionnaire and headache questionnaire, and reevaluated after a 3-month period. Results: A total of 30 (9.3%) of the 322 military personnel met the criteria for a mild brain injury. Among them, 18 personnel (60%) reported headaches during the 3-month re-evaluation. PTHs were defined as headaches beginning within 1-week after a head trauma and were present in 5.6% of military personnel during the 6-month study period; 67% of PTHs were classified as migrainous or having possible migrainous features. Patients with disorders such as PTSD and depression were at a higher risk for developing PTH following mild brain injury (p<0.05). PTH did not relate to demographic factors such as age or type of trauma. Conclusions: PTH attributed to mild brain injury is a common disorder in military personnel. Migrainous features are predominant among them when compared to the general population. PTH is not related to a particular type of trauma, but is associated with affective disorders.
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