PMID: 9441248Jan 24, 1998Paper

Post-traumatic headache

Der Nervenarzt
M Keidel, H-C Diener

Abstract

Head trauma (HT) and whiplash injury (WI) is followed by a posttraumatic headache (PH) in approx. 90% of patients. The PH due to common WI is located occipitally (67%), is of dull-pressing or dragging character (77%) and lasts on average 3 weeks. Tension headache is the most frequent type of PH (85%). Besides posttraumatic cervicogenic headache or symptomatic, secondary headache due to SDH, SAB, ICB or increased ICP, migraine- or cluster-like headache can be observed in rare cases. Prolonged application of analgetics (> 4 weeks) can cause a drug induced headache. In 80% of patients PH following HT shows remission within 6 months. Chronic PH lasting at least 4 years occurs in 20%. Unfavorouble prognostic factors include an age higher than 40 yrs, a low intellectual, educational and socio-economic level, previous HT or a history of alcohol abuse. A prolonged PH due to WI can be expected in patients with initially severe headache, with an extensive decrease of mobility of the cervical spine, with subjective impediment, with depressive mood, with somatic-vegetative complaints, with a history of pretraumatic headache and with increased age. Acute PH is treated with analgesics, antiphlogistics and/or muscle relaxants; chronic PH with...Continue Reading

Citations

Feb 9, 1999·The Journal of Head Trauma Rehabilitation·M F MartelliN D Zasler
Jan 21, 2004·The Journal of Head Trauma Rehabilitation·Keith Nicholson, Michael F Martelli
Jan 8, 2009·Current Pain and Headache Reports·Ottar SjaastadLeiv Bakketeig
Nov 28, 2002·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·D MickevicieneT Sand
Dec 22, 2004·Archives of Orthopaedic and Trauma Surgery·Ely L SteinbergSamuel Dekel
Dec 18, 2008·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·L J StovnerT Sand
Jul 31, 2013·Neurocritical Care·Axel Petzold, Armand Girbes
Jan 16, 2013·Neurologia i neurochirurgia polska·Marcela Lippert-Grüner
Aug 19, 2015·Current Pain and Headache Reports·Sylvia Lucas
Feb 1, 2020·PM & R : the Journal of Injury, Function, and Rehabilitation·Jeanne M HoffmanNancy Temkin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.

Related Papers

Schweizerische medizinische Wochenschrift
B P RadanovM Mumenthaler
European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
B P RadanovK F Augustiny
© 2021 Meta ULC. All rights reserved