Symptoms of Autonomic Dysfunction Among Those With Persistent Posttraumatic Headache Attributed to Mild Traumatic Brain Injury: A Comparison to Migraine and Healthy Controls

Headache
Levi HowardTodd J Schwedt

Abstract

Most persistent posttraumatic headaches (PPTH) have a phenotype that meets diagnostic criteria for migraine or probable migraine. Although symptoms of autonomic dysfunction have been well described among those with migraine, the presence and relative severity of such symptoms among those with PPTH have yet to be reported. The objective of this study was to assess and compare symptoms of autonomic dysfunction among those with PPTH attributed to mild traumatic brain injury (mTBI) vs migraine vs healthy controls using Composite Autonomic Symptom Score 31 (COMPASS-31) questionnaire scores. Individuals with PPTH (n = 56) (87.5% of whom had a migraine/probable migraine phenotype), migraine (n = 30), and healthy controls (n = 36) were prospectively assessed in this cross-sectional cohort study using the COMPASS-31 questionnaire. Total COMPASS-31 scores and individual domain scores (bladder, gastrointestinal, orthostatic intolerance, pupillomotor, secretomotor, vasomotor) were compared between subject groups. COMPASS-31 mean total weighted score was 37.22 ± 15.44 in the PPTH group, 27.15 ± 14.37 in the migraine group, and 11.67 ± 8.98 for healthy controls. COMPASS-31 mean weighted total scores were significantly higher in those with PP...Continue Reading

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Citations

Apr 19, 2020·Current Opinion in Neurology·Levi Howard, Todd J Schwedt
Dec 19, 2019·Cephalalgia : an International Journal of Headache·Dan LevyRuth Defrin
Jul 16, 2020·The Journal of Headache and Pain·Silvia BenemeiUNKNOWN European Headache Federation School of Advanced Studies (EHF-SAS)
May 26, 2020·The Journal of Headache and Pain·Alejandro Labastida-RamírezUNKNOWN European Headache Federation School of Advanced Studies (EHF-SAS)
Apr 17, 2020·The Journal of Headache and Pain·Soo-Kyoung KimTodd J Schwedt
Jun 11, 2020·International Journal of Environmental Research and Public Health·Martina GuglielmettiPaolo Martelletti
Nov 20, 2020·Cephalalgia : an International Journal of Headache·Todd J Schwedt
Feb 6, 2021·Journal of Clinical Medicine·Colt A CoffmanRobert Davis Moore
Jan 13, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Austin PeñaTodd J Schwedt
May 1, 2021·Cephalalgia : an International Journal of Headache·Catherine D ChongTodd J Schwedt
Jun 15, 2021·Current Pain and Headache Reports·Joshua Kamins
Oct 14, 2021·Cephalalgia : an International Journal of Headache·Simona NikolovaCatherine D Chong

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