Posttraumatic Migraine as a Predictor of Recovery and Cognitive Impairment After Sport-Related Concussion

Abstract

Results suggest that PTM is associated with cognitive impairments and protracted recovery and that headache alone is not a good predictor of recovery.

Differences in Callosal and Forniceal Diffusion between Patients with and without Postconcussive Migraine

“…1 Headaches are the most common, persistent, and debilitating sequelae of mTBI, with estimates of up to 90% prevalence following mTBI. 2 The costs associated with posttraumatic headache (PTH) are high, with poorer performance on neurocognitive testing, increased risk for compounded disability, and a protracted recovery. [2][3][4] PTH can be quite variable in clinical characteristics and symptomatology, with patients presenting with tension-type, migraine and clusterlike, cervicogenic, and mixed headaches.…”

“…2 The costs associated with posttraumatic headache (PTH) are high, with poorer performance on neurocognitive testing, increased risk for compounded disability, and a protracted recovery. [2][3][4] PTH can be quite variable in clinical characteristics and symptomatology, with patients presenting with tension-type, migraine and clusterlike, cervicogenic, and mixed headaches. 5 Despite the different symptoms associated with the various types of PTH, most studies evaluating PTH did not distinguish among the different PTH groups, focusing merely on the presence or absence of PTH.…”

Principal Component Analysis of Diffusion Tensor Images to Determine White Matter Injury Patterns Underlying Postconcussive Headache

“…5 Among postconcussion symptoms (PCS), posttraumatic headache (PTH) is one of the most frequent, enduring, and debilitating symptoms, with estimates of up to 90% prevalence following mTBI. 6 The morbidity associated with PTH is high, with poorer neurocognitive test performance, exacerbation of other PCS, and longer recovery times. 7 Unfortunately, imaging of mTBI and PTH has proved to be difficult because routine CT and MR imaging findings are often negative in these patients.…”

High Baseline Postconcussion Symptom Scores and Concussion Outcomes in Athletes

“…28 Alternatively, emotional stress may mediate other pathophysiologic outcomes, such as posttraumatic migraine, which is associated with worse performance on memory-composite aspects of neurocognitive testing. 29 In contrast to neurocognitive test findings, high-level symptom reporters displayed no increase in total symptom scores after SRC. However, athletes who reported no baseline symptoms reported higher levels of symptoms after injury.…”