Predicting Postconcussive Symptoms After Mild Traumatic Brain Injury in Children and Adolescents: 2020 Update

Yeates, Keith Owen

doi:10.1007/978-3-030-75564-5_15

Cited by 1 publication

(1 citation statement)

References 81 publications

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“…It is unclear whether head injury itself, the interaction of key posttraumatic symptoms, genetic factors, premorbid environmental stressors, and ameliorators, or all of these contribute to (1) chronification of PTH; (2) transformation of both MPTH and PTH to migraine; (3) emergence of migraine in the setting of a family history of migraine; or (4) change in migraine characteristics in those with premorbid migraine who have MPTH after TBI. 13…”

Section: Complexity Of the Headache Phenotype In Traumatic Brain Injurymentioning

confidence: 99%

Identifying Migraine Phenotype Post Traumatic Headache (MPTH) to Guide Overall Recovery From Traumatic Brain Injury

et al. 2022

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Objective: The primary aim of this study is to develop an easy way to identify migraine phenotype posttraumatic headache (MPTH) in children with traumatic brain injury, to treat headache in traumatic brain injury effectively, and to promote faster recovery from traumatic brain injury symptoms overall. Methods: We evaluated youth aged 7-20 years in a pediatric neurology traumatic brain injury (TBI) clinic, assigning a migraine phenotype for post-traumatic headache (MPTH) at the initial visit with the 3-item ID Migraine Screener. We stratified the sample by early (≤6 weeks) and late (>6 weeks) presenters, using days to recovery from concussion symptoms as the primary outcome variable. Results: 397 youth were assessed; 54% were female. Median age was 15.1 years (range 7.0-20.4 years), and 34% of the sample had sports-related injuries. Migraine phenotype for posttraumatic headache (MPTH) was assigned to 56.1% of those seen within 6 weeks of traumatic brain injury and 50.7% of those seen after the 6-week mark. Irrespective of whether they were early or late presenters to our clinic, patients with migraine phenotype (MPTH) took longer to recover from traumatic brain injury than those with posttraumatic headache (PTH) alone. Log rank test indicated that the survival (ie, recovery) distributions between those with migraine phenotype posttraumatic headache (MPTH) and those with posttraumatic headache (PTH) were statistically different, χ2(3) = 50.186 ( P < .001). Conclusions: Early identification of migraine phenotype posttraumatic headache (MPTH) following concussion can help guide more effective treatment of headache in traumatic brain injury and provide a road map for the trajectory of recovery from traumatic brain injury symptoms. It will also help us understand better the mechanisms that underlie conversion to persistent posttraumatic headache and chronic migraine after traumatic brain injury.

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Section: Complexity Of the Headache Phenotype In Traumatic Brain Injurymentioning

confidence: 99%

Identifying Migraine Phenotype Post Traumatic Headache (MPTH) to Guide Overall Recovery From Traumatic Brain Injury

et al. 2022

View full text Add to dashboard Cite

show abstract

Predicting Postconcussive Symptoms After Mild Traumatic Brain Injury in Children and Adolescents: 2020 Update

Cited by 1 publication

References 81 publications

Identifying Migraine Phenotype Post Traumatic Headache (MPTH) to Guide Overall Recovery From Traumatic Brain Injury

Identifying Migraine Phenotype Post Traumatic Headache (MPTH) to Guide Overall Recovery From Traumatic Brain Injury

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