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Posttraumatic Headache: Clinical Characterization and Management

  • Concussion and Head Injury (S Lucas, Section Editor)
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Abstract

Headache is the most common symptom after traumatic brain injury (TBI). TBI has become a global health concern with an estimated 2.5 million reported TBIs per year in the USA alone. Recent longitudinal studies of posttraumatic headache (PTH) show a high cumulative incidence of 71 % after moderate or severe TBI and an even higher cumulative incidence of 91 % after mild TBI (mTBI) at 1 year after injury. Prevalence remains high at over 44 % throughout the year after moderate or severe TBI and over 54 % after mTBI. A prior history of headache is associated with a higher risk for PTH, whereas older age appears to be protective. Gender does not appear to be a risk factor for PTH. Most PTH has clinical diagnostic criteria meeting that of migraine or probable migraine when primary headache disorder classification criteria are used, followed by tension-type headache. There are no evidence-based treatment guidelines for PTH management; however, expert opinion has suggested treating the PTH using primary headache disorder treatment recommendations according to its type.

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Conflict of Interest

Sylvia Lucas is a section editor for Current Pain and Headache Reports.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Correspondence to Sylvia Lucas.

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This article is part of the Topical Collection on Concussion and Head Injury

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Lucas, S. Posttraumatic Headache: Clinical Characterization and Management. Curr Pain Headache Rep 19, 48 (2015). https://doi.org/10.1007/s11916-015-0520-1

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