期刊
CEPHALALGIA
卷 32, 期 8, 页码 600-606出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/0333102412445224
关键词
Headache; traumatic brain injury; TBI; post-traumatic headache; PTH; migraine; probable migraine; tension-type headache; cervicogenic headache; secondary headaches
资金
- Department of Education, National Institute on Disability and Rehabilitation Research
- TBI Model Systems: University of Washington Traumatic Brain Injury Model System [H133A070032]
- Virginia Commonwealth Traumatic Brain Injury Model System [H133A070036]
- NIDRR
- Wadsworth Foundation
- Merck
- GSK
- Map
- Nupathe
- St. Jude Medical
- BiogenIdec
- Sanofi-Aventis
- John L. Locke Foundation
- National Headache Foundation
- EMD Serono-Pfizer
- Zogenix
- Novartis
- Allozyne
Background: Headache is a common and persistent symptom following traumatic brain injury (TBI). Headaches following TBI are defined primarily by their temporal association to injury, but have no defining clinical features. To provide a framework for treatment, primary headache symptoms were used to characterize headache. Methods: Three hundred and seventy-eight participants were prospectively enrolled during acute in-patient rehabilitation for TBI. Headaches were classified into migraine/probable migraine, tension-type, or cervicogenic headache at baseline and 3, 6, and 12 months following TBI. Results: Migraine was the most frequent headache type occurring in up to 38% of participants who reported headaches. Probable migraine occurred in up to 25%, tension-type headache in up to 21%, then cervicogenic headache in up to 10%. Females were more likely to have endorsed pre-injury migraine than males, and had migraine or probable migraine at all time points after injury. Those classified with migraine were more likely to have frequent headaches. Conclusions: Our data show that most headache after TBI may be classified using primary headache criteria. Migraine/probable migraine described the majority of headache after TBI across one year post-injury. Using symptom-based criteria for headache following TBI can serve as a framework from which to provide evidence-based treatment for these frequent, severe, and persistent headaches.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据