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Titolo:
Symptomatic approach to posttraumatic headache and its possible implications for treatment
Autore:
Radanov, BP; Di Stefano, G; Augustiny, KF;
Indirizzi:
Univ Bern, Inselspital, Dept Psychiat, CH-3010 Bern, Switzerland Univ Bern Bern Switzerland CH-3010 t Psychiat, CH-3010 Bern, Switzerland
Titolo Testata:
EUROPEAN SPINE JOURNAL
fascicolo: 5, volume: 10, anno: 2001,
pagine: 403 - 407
SICI:
0940-6719(200110)10:5<403:SATPHA>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
TENSION-TYPE HEADACHE; TRAUMATIC BRAIN INJURY; CERVICOGENIC HEADACHE; WHIPLASH INJURY; MIGRAINE; PATHOPHYSIOLOGY; MECHANISMS; RECOVERY; SPECT; PAIN;
Keywords:
head trauma; whiplash injury; chronic posttraumatic headache; migraine; tension headache;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Radanov, BP Univ Bern, Inselspital, Dept Psychiat, CH-3010 Bern, Switzerland Univ Bern Bern Switzerland CH-3010 CH-3010 Bern, Switzerland
Citazione:
B.P. Radanov et al., "Symptomatic approach to posttraumatic headache and its possible implications for treatment", EUR SPINE J, 10(5), 2001, pp. 403-407

Abstract

We investigated 112 patients (mean age 39.5+/-10.5 years, 59% women (n=66)] with chronic posttraumatic headache following cranio-cervical acceleration/deceleration trauma after an average time interval of 2.5+/-1.9 years from trauma. Headache following minor head injury or whiplash is one of the most prominent problems in neurotraumatology. Previous research is inconclusive regarding the symptomatic approach of this type of headache. Details of the phenomenology of posttraumatic headache in the previous literature are inconclusive. This may lead to inappropriate treatment strategies, because recent advances in therapy of different headache types may be neglected. Patients were investigated at the outpatient service of the Department of Psychiatry. Headache was analyzed according to its principal location, laterality, projection, quality, precipitation or aggravation and possible additional symptoms. For this analysis, headache was diagnosed according to the classification of the International Headache Society. The results showed that42 patients (37%) had tension-type headache, 30 (27%) were identified as suffering from migraine, whereas 20 patients (18%) had cervicogenic headache. An additional 18% of patients suffered from headache that did not fulfillcriteria of a particular category. In 104 patients (93%), neck pain was associated in time with headache. Each of the diagnosed headache types in this study may require specific treatment strategies based upon empirical studies of non-traumatic headache types. For these reasons a detailed analysis of headache following cranio-cervical acceleration/deceleration trauma is necessary.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/06/19 alle ore 17:50:39