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Current Neurology and Neuroscience Reports
Published in: Current Neurology and Neuroscience Reports 11/2016

01-11-2016 | Headache (RB Halker, Section Editor)

Post-Concussive Syndrome: a Focus on Post-Traumatic Headache and Related Cognitive, Psychiatric, and Sleep Issues

Authors: Mia T Minen, Alexandra Boubour, Harjasleen Walia, William Barr

Published in: Current Neurology and Neuroscience Reports | Issue 11/2016

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Abstract

Purpose of Review

Post-traumatic headache (PTH) is a secondary headache disorder following traumatic brain injury. We sought to examine the recent literature on PTH and associated cognitive, psychiatric, and sleep conditions to understand the latest findings about the associated conditions and available screening tools, and to understand the available treatment options for PTH.

Recent Findings

Up to one third of PTH patients may have depression and about one quarter may have insomnia. Anxiety and cognitive issues are also common. While there are few studies examining abortive medications for PTH, recent studies of preventive medications examine the efficacy of topiramate, and topiramate may be better than other oral preventive medications. Other currently investigated treatments include nerve blocks, onabotulinum toxin A, transmagnetic stimulation, and behavioral therapy (biofeedback).

Summary

Due to an expanded focus on and knowledge of concussion and PTH, comorbid psychiatric, cognitive, and sleep issues have become more widely acknowledged and studied. However, more high-quality studies must be conducted to examine the underlying pathophysiology of PTH and associated symptoms and to determine the most effective abortive and preventive treatment options.
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Metadata
Title
Post-Concussive Syndrome: a Focus on Post-Traumatic Headache and Related Cognitive, Psychiatric, and Sleep Issues
Authors
Mia T Minen
Alexandra Boubour
Harjasleen Walia
William Barr
Publication date
01-11-2016
Publisher
Springer US
Published in
Current Neurology and Neuroscience Reports / Issue 11/2016
Print ISSN: 1528-4042
Electronic ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-016-0697-7

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