2006
DOI: 10.1007/s11916-006-0010-6
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Neuropsychologic aspects of post-traumatic headache and chronic daily headache

Abstract: The management of patients with chronic refractory head pain remains a treatment challenge. Treatment focus should be multidisciplinary as patients evolve into a deteriorated status with psychologic, social, vocational, and cognitive dysfunction. The neuropsychologist will gather premorbid and comorbid information, assess cognitive functioning, and be involved in every behavioral medicine and treatment decision. The patient with post-traumatic head pain copes with head injury sequelae. Issues related to worker… Show more

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Cited by 8 publications
(4 citation statements)
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References 64 publications
(53 reference statements)
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“…Other risk factors for developing chronic PTHA include female gender, lower socioeconomic status, and prior history of headaches [7,8,10,11,15]. Psychiatric disorders are increased in patients with PTHA and contribute to headache chronicity, headache frequency, and headache-related disability [16][17][18][19].…”
Section: Introductionmentioning
confidence: 99%
“…Other risk factors for developing chronic PTHA include female gender, lower socioeconomic status, and prior history of headaches [7,8,10,11,15]. Psychiatric disorders are increased in patients with PTHA and contribute to headache chronicity, headache frequency, and headache-related disability [16][17][18][19].…”
Section: Introductionmentioning
confidence: 99%
“…Notably, virtually all acquired or secondary neurological diseases of the nervous system, including traumatic, vascular, infectious, inflammatory, demyelinating, tumor, iatrogenic, toxic, metabolic, and psychiatric disorders have been associated with intellectual impairment or dementia [12]. Likewise, some systemic diseases, such as chronic pain [13] or rheumatic [14] and digestive [15] conditions, have been associated with cognitive dysfunction. Therefore, the ubiquity of intellectual dysfunction in human pathology and the fact that cognitive impairment is always a major cause of disability for the patient highlights the importance of the problem and the need to generate knowledge on the causes, pathogenetic mechanisms, and treatments of these disorders.…”
Section: Of 29mentioning
confidence: 99%
“…6,8,9,11,29 Although a causal relationship has not been proven, psychiatric symptoms, such as depression, anxiety, anger, and personality change, are increased in patients with PTHA and may contribute to the development of chronic PTHA and increased headache-related disability. [30][31][32][33][34] PATHOPHYSIOLOGY The major neuroanatomic pathways involved in head pain are shown in Figure 4-2. The trigeminal nerve is the major peripheral nerve for transmitting pain stimuli of the head.…”
Section: Case 4-1mentioning
confidence: 99%
“…23,52 Cognitive impairment, primarily involving executive dysfunction as well as attentional deficits, memory impairment, and increased impulsivity, is another feature often seen in patients with chronic PTHA. 31,34,53 The prevalence of psychiatric comorbidities differs according to injury severity, duration from injury, and diagnostic criteria. Major depression in TBI has been reported in a wide range of 10% to 77%.…”
Section: Comorbiditiesmentioning
confidence: 99%