LABASTIDA-RAMIREZ, Alejandro, Silvia BENEMEI, Maria ALBANESE, Antonina AMICO, Giovanni GRILLO, Oxana GROSU, Harika ERTEM, Jasper MECKLENBURG, Elena Petrovna FEDOROVA, Pavel ŘEHULKA, Francesca Schiano DI COLA, Javier Trigo LOPEZ, Nina VASHCHENKO, Antoinette MAASSENVANDENBRINK and Paolo MARTELLETTI. Persistent post-traumatic headache: a migrainous loop or not? The clinical evidence. JOURNAL OF HEADACHE AND PAIN. LONDON: BMC, 2020, vol. 21, No 1, p. 1-15. ISSN 1129-2369. Available from: https://dx.doi.org/10.1186/s10194-020-01122-5.
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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
Original language English
Type of outcome Article in a journal
Field of Study 30103 Neurosciences
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 7.277
RIV identification code RIV/00216224:14110/20:00115994
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1186/s10194-020-01122-5
UT WoS 000536927300001
Keywords in English Headache; Migraine; Trauma; Traumatic brain injury; Treatment
Tags 14110127, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 15/7/2020 12:27.
Abstract
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.
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