Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review
Characterization of persistent post-traumatic headache and management strategies in adolescents and young adults following mild traumatic brain injury. / Kothari, Simple F.; Eggertsen, Peter Preben; Frederiksen, Oana-Veronica et al.
I: Scientific Reports, Bind 12, Nr. 1, 2209, 12.2022.Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review
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TY - JOUR
T1 - Characterization of persistent post-traumatic headache and management strategies in adolescents and young adults following mild traumatic brain injury
AU - Kothari, Simple F.
AU - Eggertsen, Peter Preben
AU - Frederiksen, Oana-Veronica
AU - Møller, Mille Thastum
AU - Svendsen, Susanne Wulff
AU - Tuborgh, Astrid
AU - Næss-Schmidt, Erhard Trillingsgaard
AU - Rask, Charlotte Ulrikka
AU - Schröder, Andreas Bak
AU - Kasch, Helge
AU - Nielsen, Jørgen Feldbæk
PY - 2022/12
Y1 - 2022/12
N2 - Characteristics of persistent post-traumatic headache (PTH) in young individuals are poorly known leading to diagnostic problems and diverse management. We aimed to describe headache phenotypes and self-reported management strategies in young individuals with PTH following mild traumatic brain injury (mTBI). A comprehensive structured questionnaire was used to evaluate headache phenotypes/characteristics and management strategies to relieve headache in 107, 15-30-year-old individuals with PTH. Around 4 months post-injury, migraine-like headache in combination with tension-type like headache (40%) was the most commonly encountered headache phenotype followed by migraine-like headache (36%). Around 50% reported aura-like symptoms before/during the headache attack. Medication-overuse headache was diagnosed in 10%. Stress, sleep disturbances, and bright lights were the most common trigger factors. More than 80% reported that their headache was worsened by work-related activity and alleviated by rest/lying down. Simple analgesics were commonly used (88%) whereas prophylactic drugs were rarely used (5%). Bedrest and physiotherapy were also commonly used as management strategies by 56% and 34% of the participants, respectively. In conclusion, most young individuals with PTH after mTBI presented with combined migraine-like and tension-type-like headache followed by migraine-like headache, only. Preventive headache medication was rarely used, while simple analgesics and bedrest were commonly used for short-term headache relief.
AB - Characteristics of persistent post-traumatic headache (PTH) in young individuals are poorly known leading to diagnostic problems and diverse management. We aimed to describe headache phenotypes and self-reported management strategies in young individuals with PTH following mild traumatic brain injury (mTBI). A comprehensive structured questionnaire was used to evaluate headache phenotypes/characteristics and management strategies to relieve headache in 107, 15-30-year-old individuals with PTH. Around 4 months post-injury, migraine-like headache in combination with tension-type like headache (40%) was the most commonly encountered headache phenotype followed by migraine-like headache (36%). Around 50% reported aura-like symptoms before/during the headache attack. Medication-overuse headache was diagnosed in 10%. Stress, sleep disturbances, and bright lights were the most common trigger factors. More than 80% reported that their headache was worsened by work-related activity and alleviated by rest/lying down. Simple analgesics were commonly used (88%) whereas prophylactic drugs were rarely used (5%). Bedrest and physiotherapy were also commonly used as management strategies by 56% and 34% of the participants, respectively. In conclusion, most young individuals with PTH after mTBI presented with combined migraine-like and tension-type-like headache followed by migraine-like headache, only. Preventive headache medication was rarely used, while simple analgesics and bedrest were commonly used for short-term headache relief.
KW - AURA
KW - CHILDREN
KW - IMPACT
KW - KINEMATICS
KW - MIGRAINE
KW - NATURAL-HISTORY
KW - POST-CONCUSSION SYMPTOMS
KW - RISK
KW - US SOLDIERS
KW - WOMEN
UR - http://www.scopus.com/inward/record.url?scp=85124307465&partnerID=8YFLogxK
U2 - 10.1038/s41598-022-05187-x
DO - 10.1038/s41598-022-05187-x
M3 - Journal article
C2 - 35140235
VL - 12
JO - Scientific Reports
JF - Scientific Reports
SN - 2045-2322
IS - 1
M1 - 2209
ER -