Research Reports - The course of headache in patients with mild traumatic brain injury

J Headache Pain. 2017 Dec;18(1):48. doi: 10.1186/s10194-017-0755-9. Epub 2017 Apr
20.

Hong CK(1,)(2), Joo JY(1), Shim YS(3), Sim SY(4), Kwon MA(1), Kim YB(1), Chung
J(5,)(6,)(7).

BACKGROUND: Little is known about the long-term course of headache in patients
with moderate-to-severe headache due to traumatic brain injury (TBI). We
evaluated the course of headache in patients with moderate-to-severe headache due
to mild TBI.
METHODS: Since September 2009, patients with TBI prospectively rated their
headache using a numeric rating scale (NRS). From the database containing 935
patients with TBI between September 2009 and December 2013, 259 patients were
included according to following criteria: (1) newly onset moderate-to-severe
headache (NRS ≥ 4) due to head trauma; (2) age ≥ 15 years; (3) Glasgow Coma
Scale ≥ 13; (4) transient loss of consciousness ≤ 30 min; and (5) radiographic
evaluation, such as computed tomography or magnetic resonance image. We evaluated
initial and follow-up NRS scores to determine the significance of NRS changes and
identified risk factors for moderate-to-severe headache at 36-month follow-up.
RESULTS: At 36-month follow-up, 225 patients (86.9%) reported improved headache
(NRS ≤ 3) while 34 (13.1%) reported no improvement. The NRS scores were
significantly decreased within a month (P < 0.001). The follow-up NRS scores at
12-, 24-, and 36-months were lower than those at one month (P < 0.001). Multiple
logistic regression analysis showed that post-traumatic seizure (odds ratio,
2.162; 95% CI, 1.095-6.542; P = 0.041) and traumatic intracranial hemorrhage
(odds ratio, 2.854; 95% CI, 1.241-10.372; P = 0.024) were independent risk
factors for moderate-to-severe headache at 36-month follow-up.
CONCLUSIONS: The course of headache in patients with mild TBI continuously
improved until 36-month follow-up. However, 13.1% of patients still suffered from
moderate-to-severe headache at 36-month follow-up, for whom post-traumatic
seizure and traumatic intracranial hemorrhage might be risk factors. 

« Back to Special Reports

Contact Us

We will gladly answer all or your questions about rehabilitation at Centre for Neuro Skills.

email cns@neuroskills.com

phone 1.800.922.4994
or Request a Callback


brain injury store


free brain injury newsletter


why choose cns for brain injury rehabilitation


brain injury newsletter


brain injury store