J 2020

Persistent post-traumatic headache: a migrainous loop or not? The clinical evidence

LABASTIDA-RAMIREZ, Alejandro, Silvia BENEMEI, Maria ALBANESE, Antonina AMICO, Giovanni GRILLO et. al.

Basic information

Original name

Persistent post-traumatic headache: a migrainous loop or not? The clinical evidence

Authors

LABASTIDA-RAMIREZ, Alejandro (528 Netherlands), Silvia BENEMEI (380 Italy), Maria ALBANESE (380 Italy), Antonina AMICO (380 Italy), Giovanni GRILLO (380 Italy), Oxana GROSU (498 Republic of Moldova), Harika ERTEM (792 Turkey), Jasper MECKLENBURG (276 Germany), Elena Petrovna FEDOROVA (643 Russian Federation), Pavel ŘEHULKA (203 Czech Republic, belonging to the institution), Francesca Schiano DI COLA (380 Italy), Javier Trigo LOPEZ (724 Spain), Nina VASHCHENKO (643 Russian Federation), Antoinette MAASSENVANDENBRINK (528 Netherlands) and Paolo MARTELLETTI (380 Italy, guarantor)

Edition

JOURNAL OF HEADACHE AND PAIN, LONDON, BMC, 2020, 1129-2369

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30103 Neurosciences

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 7.277

RIV identification code

RIV/00216224:14110/20:00115994

Organization unit

Faculty of Medicine

UT WoS

000536927300001

Keywords in English

Headache; Migraine; Trauma; Traumatic brain injury; Treatment

Tags

Tags

International impact, Reviewed
Změněno: 15/7/2020 12:27, Mgr. Tereza Miškechová

Abstract

V originále

Background Headache is a common complication of traumatic brain injury. The International Headache Society defines post-traumatic headache as a secondary headache attributed to trauma or injury to the head that develops within seven days following trauma. Acute post-traumatic headache resolves after 3 months, but persistent post-traumatic headache usually lasts much longer and accounts for 4% of all secondary headache disorders. Main body The clinical features of post-traumatic headache after traumatic brain injury resemble various types of primary headaches and the most frequent are migraine-like or tension-type-like phenotypes. The neuroimaging studies that have compared persistent post-traumatic headache and migraine found different structural and functional brain changes, although migraine and post-traumatic headache may be clinically similar. Therapy of various clinical phenotypes of post-traumatic headache almost entirely mirrors the therapy of the corresponding primary headache and are currently based on expert opinion rather than scientific evidence. Pharmacologic therapies include both abortive and prophylactic agents with prophylaxis targeting comorbidities, especially impaired sleep and post-traumatic disorder. There are also effective options for non-pharmacologic therapy of post-traumatic headache, including cognitive-behavioral approaches, onabotulinum toxin injections, life-style considerations, etc. Conclusion Notwithstanding some phenotypic similarities, persistent post-traumatic headache after traumatic brain injury, is considered a separate phenomenon from migraine but available data is inconclusive. High-quality studies are further required to investigate the pathophysiological mechanisms of this secondary headache, in order to identify new targets for treatment and to prevent disability.