Chronic Daily Headache in the Posttrauma Syndrome: Relation to Extent of Head Injury

Couch, J. R.; Bearss, Candace

doi:10.1046/j.1526-4610.2001.041006559.x

Cited by 122 publications

(98 citation statements)

References 23 publications

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“…However, the presence of CT scan abnormalities would classify these injuries in the moderate-to-severe category in some classification systems (Malec et al, 2007), making this sample more homogeneous and possibly limiting the extent to which differences in PTH incidence differ between injury severity classes. Prior research that has supported the idea of higher rates of headache in individuals with mild TBI has often focused on individuals presenting to outpatient clinics with a wide variation in time since injury and with varying presenting problems (Couch and Bearss, 2001;Uomoto and Esselman, 1993). While our mild group is likely more severely injured than those with mild TBI referred to in the literature, our rates of PTH with varying levels of severity of brain injury are similar and high.…”

Section: Figmentioning

confidence: 99%

“…Headache was the only physical symptom that remained related to mild TBI after controlling for mental disorders (Hoge et al, 2008). Some studies have reported that the prevalence of PTH in civilian injuries is higher following mild TBI than moderate to severe TBI (Couch and Bearss, 2001;Lahz and Bryant, 1996;Uomoto and Esselman, 1993;Yamaguchi, 1992). Despite its high prevalence and chronicity, the actual diagnosis of PTH and its impact on functioning remains unclear.…”

Section: Introductionmentioning

confidence: 99%

“…More definitive studies characterizing PTH are needed to improve their recognition and ultimately optimize the design of clinical trials of interventions to facilitate return to normal function in this population. Previous attempts to characterize PTH have not included representative samples followed longitudinally, with attention to possible risk factors for the development of headache (Baandrup and Jensen, 2004;Bettucci et al, 1998;Couch and Bearss, 2001;Faux and Sheedy, 2008). In the current study we sought to describe the rate of PTH over the first year following TBI, to compare persons who develop headache to those who do not, and to examine potential risk factors for the development of PTH.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Natural History of Headache after Traumatic Brain Injury

Hoffman

Lucas

Dikmen

et al. 2011

Journal of Neurotrauma

239

254

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Headache is one of the most common persisting symptoms after traumatic brain injury (TBI). Yet there is a paucity of prospective longitudinal studies of the incidence and prevalence of headache in a sample with a range of injury severity. We sought to describe the natural history of headache in the first year after TBI, and to determine the roles of prior history of headache, sex, and severity of TBI as risk factors for post-traumatic headache. A cohort of 452 acute, consecutive patients admitted to inpatient rehabilitation services with TBI were enrolled during their inpatient rehabilitation from February 2008 to June 2009. Subjects were enrolled across 7 acute rehabilitation centers designated as TBI Model Systems centers. They were prospectively assessed by structured interviews prior to inpatient rehabilitation discharge, and at 3, 6, and 12 months after injury. Results of this natural history study suggest that 71% of participants reported headache during the first year after injury. The prevalence of headache remained high over the first year, with more than 41% of participants reporting headache at 3, 6, and 12 months post-injury. Persons with a pre-injury history of headache ( p <0.001) and females ( p <0.01) were significantly more likely to report headache. The incidence of headache had no relation to TBI severity ( p = 0.67). Overall, headache is common in the first year after TBI, independent of the severity of injury range examined in this study. Use of the International Classification of Headache Disorders criteria requiring onset of headache within 1 week of injury underestimates rates of post-traumatic headache. Better understanding of the natural history of headache including timing, type, and risk factors should aid in the design of treatment studies to prevent or reduce the chronicity of headache and its disruptive effects on quality of life.

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Section: Figmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Natural History of Headache after Traumatic Brain Injury

Hoffman

Lucas

Dikmen

et al. 2011

Journal of Neurotrauma

239

254

View full text Add to dashboard Cite

show abstract

“…HA that commences within 14 days of consciousness following TBI is termed posttraumatic HA (PTHA) [115]. Some investigations show higher prevalence of PTHA in milder TBI [111,[116][117][118], but this finding remains controversial given sample selection bias concerns and conflicting reports [119][120]. PTHA is usually self-limited but may become chronic.…”

Section: Headaches and Painmentioning

confidence: 99%

Minimizing the effect of TBI-related physical sequelae on vocational return

McNamee

Walker²,

Cifu³

et al. 2009

JRRD

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Abstract-This article evaluated the common physical sequelae that affect return to work (RTW) after traumatic brain injury (TBI). We performed a Medline search and evaluation of current TBI rehabilitation texts. The information presented is a combination of published literature and clinical guidelines. The limitations faced by many patients with TBI can best be overcome through clever job search, job redesign, and community linkages with business and industry that are willing to partner in helping the patient with TBI regain employment. The physician plays a key role in communicating suggestions to the vocational specialist. The comorbidities described represent challenges to successful RTW. These problems are recurrent, long-term, and clearly affect job procurement, nature of job, level of required support, and likelihood of job retention. Conversely, these challenges should not be viewed as impenetrable obstacles. With appropriate supports such as compensatory strategies, job coaching, assistive technology, medical management, and job restructuring, successful RTW is viable option. Physicians must focus on employment outcomes in real jobs and not settle for volunteer work, sheltered work, or assessment and planning. Individuals should be placed in real work for real pay. Through close collaboration between the survivor of TBI, the physician, the vocational specialist, and community resources, successful employment for survivors of TBI is possible and must be prescribed a high value.

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“…The presence of posttraumatic headache has not been consistently correlated with the severity of the injury; in fact, some authors have reported that mild TBI patients have higher rates of headache during the initial posttraumatic phase than patients with more severe injury. 37 In the majority of mild TBI cases, headaches resolve within 3 to 6 months. 38 Dizziness/Nausea Dizziness is the second most commonly reported somatic symptom of postconcussion syndrome.…”

Section: Somatic Symptoms Headachementioning

confidence: 99%

Neurobehavioral sequelae of traumatic brain injury

Riggio

Wong

2009

Mount Sinai J Medicine

106

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The neurobehavioral sequelae of traumatic brain injury consist of a spectrum of somatic and neuropsychiatric symptoms. The neuropsychiatric symptoms are divided into cognitive and behavioral presentations. In the literature, these neurobehavioral sequelae have been called postconcussive symptoms, postconcussive syndrome, and postconcussive disorder; however, the authors of this review do not use this terminology because the symptoms are not restricted to patients with concussion but instead can be found in all traumatic brain injury patients of all injury severities. The development of neurobehavioral sequelae after traumatic brain injury is a multifactorial process. The patient evaluation requires a multidisciplinary approach in order to delineate physiologic dysfunction and place deficits in the context of the patient's preinjury and postinjury psychiatric status. Consequently, the evaluation of the posttraumatic brain injury patient with neurobehavioral sequelae requires a carefully structured history and physical examination with an emphasis on neurological and psychiatric function. Adjunctive evaluations must be tailored to the patient with neuroimaging, neurophysiological, and neuropsychiatric testing. Maximized outcomes may be achieved by the performance of a careful and detailed assessment that places complaints within the context of the individual.

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Chronic Daily Headache in the Posttrauma Syndrome: Relation to Extent of Head Injury

Abstract: This study suggests that the risk of developing posttraumatic chronic daily headache is greater for less severe head injury compared with moderate/severe head injury. The reason for this relation is unclear.

Cited by 122 publications

References 23 publications

Natural History of Headache after Traumatic Brain Injury

Natural History of Headache after Traumatic Brain Injury

Minimizing the effect of TBI-related physical sequelae on vocational return

Neurobehavioral sequelae of traumatic brain injury

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