Life quality, depression and anxiety symptoms in chronic post-traumatic headache after mild brain injury

Martins, Hugo André de Lima; Martins, Bianca Bastos Mazullo; Ribas, Valdenilson Ribeiro; Bernardino, Silvya Nery; Oliveira, Daniella Araújo de; Silva, Louana Cassiano; Sougey, Éverton Botelho; Valênça, Marcelo Moraes

doi:10.1590/s1980-57642012dn06010009

Cited by 13 publications

(11 citation statements)

References 24 publications

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“…In the ICHD-3 criteria, the only evidence for causality between the underlying injury and PTH is the time interval between the injury and headache onset. The ICHD-3 classification committee chose to keep this interval relatively short, to maximize the specificity of the criteria and since data suggest that the majority of PTH does indeed begin within 7 days of injury (5)(6)(7). However, it is recognized that some PTH might begin after the first 7 days (6,8,9).…”

Section: Introductionmentioning

confidence: 99%

Post-traumatic headache due to mild traumatic brain injury: Current knowledge and future directions

Schwedt

2020

Cephalalgia

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Background/objective Post-traumatic headache is one of the most common and persistent symptoms following mild traumatic brain injury. The objective of this narrative review is to provide an update on the diagnostic criteria, clinical presentation, epidemiology, pathophysiology, and treatment of post-traumatic headache, and to identify future research priorities. Methods This is a narrative review of the literature regarding post-traumatic headache attributed to mild traumatic brain injury. Results Onset of post-traumatic headache within 7 days of injury is the only evidence for a causal relationship between the injury and the headache included in the diagnostic criteria. Post-traumatic headache often resolves within the first few days of onset, whereas it persists for at least 3 months in 30–50%. The majority of insights into post-traumatic headache pathophysiology come from pre-clinical animal studies and human imaging studies, which implicate structural, functional, metabolic, and neuroinflammatory mechanisms for post-traumatic headache. There is a paucity of quality evidence for how to best treat post-traumatic headache. Conclusions Although meaningful progress has been made in the post-traumatic headache field, priorities for future research are numerous, including the optimization of diagnostic criteria, a greater understanding of post-traumatic headache pathophysiology, identifying mechanisms and predictors for post-traumatic headache persistence, and identifying safe, well-tolerated, effective therapies.

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Section: Introductionmentioning

confidence: 99%

Post-traumatic headache due to mild traumatic brain injury: Current knowledge and future directions

Schwedt

2020

Cephalalgia

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“…Comparing with the normal weight group (32%), the prevalence was higher in overweight children (39%; odds ratio [OR] 1.35, 95% confidence interval [CI] 0.51‐3.61) and even higher in the obese group (52%; OR 2.25, 95% CI 0.99‐5.12). Metabolic syndrome was found in 25%, and patients with the syndrome did not have higher prevalence of headache (52% vs 45%); (3) In adults, the metabolic syndrome does not appear to influence headache prevalence in obese patients; (4) A score to differentiate migraine from tension‐type headache was established, using 536 headache attacks reported by 121 nurses during a 2‐month follow‐up; (5) 14 new cases of corpalgia in migraine patients were described; (6) The continuous prophylactic use of propranolol, amitryptiline, or simvastatin in migraineurs decreases both the frequency of headache attacks and the production of nitric oxide in the blood; (7) Vitamin B6 has a preventive effect on menstrual migraine when used at a dose of 600 mg/day from the 14th day until menstruation; (8) Clinical symptomatology of the postdural puncture headache and risk factors were evaluated in 640 raquianesthesias; (9) Melatonin‐induced analgesia in addition to inhibiting neoplasic growth using a mouse or rat as the animal model; (10) The history of primary headache is a risk factor of headache related to hemodialysis (52% vs 12%); (11) A descriptive, comparative, cross‐sectional study with 110 postmenopausal women (recent [<5 years] vs late [≥5 years]) showed that the recent postmenopausal group presented highest average scores in the memory/concentration, vasomotor symptoms, and attractiveness domains in the Women's Health Questionnaire for assessment of their quality of life; (12) Prior history of headache is a risk factor of postmastectomy pain (OR 1.92; 95% CI: 1.10‐3.34); (13) Sentinel headache, as warning sign of subarachnoid hemorrhage due to ruptured intracranial aneurysm, was present in 18% of the patients; (14) The characteristics of head pain in response to an experimental cold stimulus to the palate in 414 volunteers were described; (15) Chronic posttraumatic headache after mild traumatic brain injury is similar to migraine in women; (16) There was migraine remission in 35%, 77%, 79%, respectively, in the first, second, and third trimesters among migraine without aura sufferers during pregnancy, and exclusive breastfeeding was associated with a lower chance of migraine recurrence at the first postpartum month; (17) Perfumes, paints, gasoline, and bleach are the most frequent odorants that trigger migraine attacks; Osmophobia predominated in patients with migraine and may be a specific maker to differentiate migraine from tension‐type headache; (18) In a population of 726 children and adolescents, headache was significantly associated with myopia (OR 2.67), hyperopia (OR 3.10), astigmatism (1.86), and strabismus (5.21); (19) Water deprivation is associated with increase of pain in the head in rats; (20) In a study involving 417 university students, 53% of them mentioned they ha...…”

Section: Professor Wilson Farias Da Silva and The Federal University mentioning

confidence: 99%

“…The Federal University of Pernambuco has contributed to the study of headache for almost half a century since the first publication in 1968 . Wilson Farias da Silva, Marcelo Moraes Valença, Pedro Sampaio Rocha Filho, Joaquim Costa Neto, Waldmiro Serva, Fabíola Lys Medeiros, Hugo André Martins, and Daniella Araújo de Oliveira are a few of the researchers that have been involved in the study of different aspects of the diagnosis, physiopathology, and treatment of headache disorders in the Federal University of Pernambuco. Rubem Guedes has also published vast amounts of data on spreading depression, today considered an experimental model to study migraine.…”

Section: Publications In Headache Medicinementioning

confidence: 99%

Headache Research and Medical Practice in Brazil: An Historical Overview

2015

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Since the creation of the Brazilian Headache Society in 1978, substantial developments have taken place in both research and clinical practice in the field of headache medicine in Brazil. The Society now has almost 300 members throughout the country, actively working to improve the health of the general population and, in particular, diagnose and treat headache disorders. In addition, in a few large cities, such as São Paulo, Rio de Janeiro, Recife, Ribeirão Preto, Curitiba, and Porto Alegre, headache specialists have come together to promote research projects and increase knowledge in the field through MSc, PhD, and postdoctoral programs. Furthermore, scientific journals have emerged and books have been published to record and disseminate Brazilian scientific production in headache medicine. In this narrative review, we will briefly describe some important aspects of headache medicine in Brazil from prehistoric times to the present day, discuss the origin of headache medicine as a specialty in Brazil, the principal publications dealing with headache disorders, the use of plants and other unconventional forms of treatment used by faith healers, the main training centers, and the research produced to date by Brazilians. In conclusion, in recent years enormous progress has been made in headache medicine in Brazil stimulating us to review and expand our role in an increasingly international scenario.

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“…The majority of PTH improve within 6 to 12 months post-injury; however, 18-33% may continue well beyond a year [3], and nearly 25% persist for more than a year [6]. Although PTH can vary in type, the most common of which are phenotypically migraine-like followed by tension-type or other headaches such as cervicogenic headaches [3,5,7,8], PTH in general has debilitating and disruptive effects on normal daily functioning [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Current patterns of primary care provider practices for the treatment of post-traumatic headache in active duty military settings

et al. 2020

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Objective To provide a preliminary assessment of the current clinical practice for the treatment of post-traumatic headache following concussion in military primary health care settings. Background Headache is one of the most common symptoms post-concussion; however, little is known of the current clinical practices of primary care providers (on the treatment of post-traumatic headache), particularly in military settings. Methods Study participants were primary care providers (n = 65) who treated active duty Service members suffering from post-traumatic headache at two military installations. Qualitative data gathered via semi-structured interviews were used to describe provider practices and experience in treating patients with post-traumatic headache. Results Some patterns of care across primary care providers treating post-traumatic headache were consistent with the Department of Defense-recommended clinical recommendation (e.g., recommendation of both pharmacological and non-pharmacological treatment [89.4%]; engaging in follow-up care [100%]). Differences existed in timing of follow-up from initial visit [16.9% reporting within 24 hours; 21.5% reporting within 48–72 hours; and 26.2% reporting more than 1 week], the factors contributing to the type of care given (e.g., symptomatology [33.0%], injury characteristic [24.2%], patient characteristic [13.2%]) and the need for referral to higher level of care (e.g., symptomatology [44.6%], treatment failure [25.0%]). These variations may be indicative of individualized treatment which would be compliant with best clinical practice. Conclusion The results of this study demonstrate the current clinical practice in military primary care settings for the treatment of post-traumatic headache which can potentially inform and improve implementation of provider training and education.

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Life quality, depression and anxiety symptoms in chronic post-traumatic headache after mild brain injury

Cited by 13 publications

References 24 publications

Post-traumatic headache due to mild traumatic brain injury: Current knowledge and future directions

Post-traumatic headache due to mild traumatic brain injury: Current knowledge and future directions

Headache Research and Medical Practice in Brazil: An Historical Overview

Current patterns of primary care provider practices for the treatment of post-traumatic headache in active duty military settings

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