Post-traumatic headache

Abstract

The onset of post-traumatic headache (PTC) occurs in the first seven days after trauma, according to the International Headache Society (IHS) classification. The objective of this study was to evaluate the several forms of headache that appear after mild head injury (HI) and time interval between the HI and the onset of pain. We evaluated 41 patients with diagnosis of mild HI following the IHS criteria. Migraine without aura and the chronic tension-type headache were the most prevalent groups, occurring in 16 (39%) and 14 (34.1%) patients respectively. The time interval between HI and the onset of headache was less than seven days in 20 patients (48.7%) and longer than 30 days in 10 (24.3%) patients. The results suggest that PTC may arise after a period longer than is accepted at the present by the IHS.

Natural History of Headache after Traumatic Brain Injury

“…Classification is primarily based on time of onset after injury or regaining consciousness (within 7 days), and chronicity of headache based on duration of headache lasting less than or greater than 3 months (acute versus chronic). However, several studies have reported a longer latency between injury and PTH and a higher incidence of chronic PTH than one would expect based on the ICHD definition (Martins et al, 2009;Theeler and Erickson, 2009).…”

Post-Traumatic Headache

“…In a smaller series of 41 patients in whom headache classification after mTBI was reported, migraine followed by TTH were the most common headache types found. 46 In a large ED cohort of children, migraine was found to be the most common headache type, reported in 55% of those children who had headache after mTBI. 34 Another prospective study of 100 patients presenting to a trauma surgery department with mTBI found migraine or probable migraine to be the most common headache type, followed by TTH or probable TTH using ICHD-II criteria 35 (see Table 13.2).…”

Pathogenetic aspects of the use of cytoflavine in the treatment of сhronic post-traumatic headache

“…Головная боль наблюдается у 30-90% пациентов с травмами головы и/или шеи. У 32-44% пострадавших цефалгии, связанные с ЧМТ, являются хроническими и сохраняются не менее 6 мес, а у 25% из них -4 года и более [1][2][3][4][5]. Несмотря на значительную распространен-ность, патогенетическая терапия ХПТГБ остается мало-эффективной, что связано прежде всего с недостаточной изученностью механизмов возникновения и развития этой цефалгии.…”

“…Та-кая схожесть позволяет считать описанные функциональ-ные расстройства лишь конечными звеньями реализации специфичных для ХПТГБ процессов [2,[4][5][6][7].…”

“…Однако использование этих препаратов имеет ряд ограничений, связанных пре-жде всего с их низкой эффективностью для купирования других проявлений посткоммоционного синдрома: дис-сомнии, астении и др. [2,4,5].…”