IngentaConnect Chronic post-traumatic headache a clinical analysis in relation t...

Authors: Baandrup, L; Jensen, R¹

Source: Cephalalgia, Volume 25, Number 2, February 2005 , pp. 132-138(7)

Abstract:

Baandrup L & Jensen R. Chronic post-traumatic headache – a clinical analysis in relation to the International Headache Classification 2nd Edition. Cephalalgia 2004. London. ISSN 0333-1024

The clinical presentation of chronic post-traumatic headache in 53 patients from a highly specialized headache clinic was analysed and classified according to the diagnostic criteria of the primary headaches in The International Headache Classification 2nd Edition, and compared with the 1st Edition. All patients fulfilled the criteria for both editions indicating that the restrictions in the 2nd Edition have no major influence on the prevalence in specialized clinics. We found the phenomenology to be very heterogeneous, but the vast majority (77%) of patients presented with headache resembling chronic tension-type headache, either as the only manifestation or in combination with migraine symptoms. For the first time episodic tension-type headache is described as occurring after head trauma. The prevalence of coexisting analgesic overuse was 42% and the treatment outcome for these patients was just as favourable as in primary headaches, whereas the time-consuming multidisciplinary treatment demonstrated only very modest results.

Keywords: Chronic post-traumatic headache; IHC diagnostic criteria; analgesic rebound headache

Document Type: Research article

DOI: 10.1111/j.1468-2982.2004.00818.x

Affiliations: 1: Danish Headache Centre, Department of Neurology, University of Copenhagen, Glostrup Hospital, Glostrup, Denmark

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