Chapter 13.Headache
Sections
Excerpt
Headache is a common problem following traumatic brain injury (TBI) as well as head or neck trauma. It is especially common in the early postinjury period but may persist for months or years thereafter. Although headache is often associated with other postconcussive symptoms, it may dominate the clinical picture in some individuals. Whether as the presenting symptom or a key comorbidity in a patient with multiple acute or persistent postconcussive symptoms, headache contributes importantly to distress and functional limitations among persons with TBI. In this chapter, we offer a brief review of posttraumatic headaches, beginning with the definition, epidemiology, and pathophysiology of this condition. We then describe the assessment and management of posttraumatic headache, with special focus on the management of headache among Veterans with polytrauma and persons with severe TBI, including those with communication impairments.
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