Headache after Trauma: Physiological Considerations

Abstract

Posttraumatic headache (PTH) is one of the most controversial disorders in secondary headaches. It is the most common symptom of postconcussion syndrome. There are many unresolved issues around PTH despite the efforts by the International Headache Society to classify and clarify this entity. This article reviews the classification, pathophysiology, and treatment of PTH, as well as best management of patients with psychiatric comorbidities. Due to the complexity of PTH, the different forms of appearance, its pathophysiology, and the implications of psychological factors, a multidisciplinary team to cover all aspects appears as the best way to approach management and treatment.

Medication Usage Patterns for Headache Treatment After Mild Traumatic Brain Injury

“…[5][6][7][8] Further analysis of the characteristics of these headaches indicate that post-traumatic headaches may resemble primary headaches such as migraine, tension, or have characteristics of several headache phenotypes. 6,9,10 Headache experts have argued for a more comprehensive classification system based on head injury mechanism, timing of headache onset, and characteristics of the headache symptoms. 11 It is expected that a better understanding of post-traumatic headaches will lead to improved management.…”

Traumatic Brain Injury: Consequences and Family Needs

“…Post concussion syndrome (PCS) is usually a sequela of TBI and includes headache, dizziness, fatigue, neurocognitive impairment and mood and behavior alterations. Headaches are a key symptom and the most common of PCSs, beginning within seven days after a trauma; it is classified as chronic when it persists for more than three months (Láinez & Pesquera, 2011). Chronic pain is a common complication of TBI and contributes to morbidity and poor recovery after injury.…”

Integrated multidisciplinary care of headache disorders: A narrative review

“…Cognitive behavioral treatment failed to show superiority compared to a waiting list control group (3). However, based on general considerations a multidisciplinary treatment setting is recommended (4).…”