Characteristics and treatment of headache after traumatic brain injury: a focused review

Am J Phys Med Rehabil. 2006 Jul;85(7):619-27. doi: 10.1097/01.phm.0000223235.09931.c0.

Abstract

Headache is one of the most common complaints in patients with traumatic brain injury. By definition, headache that develops within 1 wk after head trauma (or within 1 wk after regaining consciousness) is referred to as posttraumatic headache (PTH). Although most PTH resolves within 6-12 mos after injury, approximately 18-33% of PTH persists beyond 1 yr. We performed a systematic literature review on this topic and found that many patients with PTH had clinical presentations very similar to tension-type headache (37% of all PTH) and migraine (29% of all PTH). Although there is no universally accepted protocol for treating PTH, many clinicians treat PTH as if they were managing primary headache. As a result of the heterogeneity in the terminology and paucity in prospective, well-controlled studies in this field, there is a definite need for conducting double-blind, placebo-controlled treatment trials in patients with PTH.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Analgesics / therapeutic use
  • Anesthetics, Local / therapeutic use
  • Brain Injuries / complications*
  • Female
  • Humans
  • Male
  • Physical Therapy Modalities
  • Post-Traumatic Headache / etiology*
  • Post-Traumatic Headache / psychology
  • Post-Traumatic Headache / therapy*
  • Psychotherapy

Substances

  • Analgesics
  • Anesthetics, Local