Persistent headache and cephalic allodynia attributed to head trauma in children and adolescents

Tal Eidlitz Markus, Avraham Zeharia, Yishai Haimi Cohen, Osnat Konen

Research output: Contribution to journalReview articlepeer-review

Abstract

The aim of the study was to investigate clinical features of headache associated with minor versus moderate to severe traumatic brain injury and of posttraumatic versus primary headache in children and adolescents. Study group included 74 patients after mild (n = 60) or moderate to severe (n = 14) traumatic brain injury identified by retrospective review of the computerized files of a tertiary pediatric headache clinic. Forty patients (54%) had migraine-like headache, 23 (31.1%) tension-like headache, and 11 (14.9%) nonspecified headache. Fourteen patients (53.8%) had allodynia. In comparison with 174 control patients, the study group had a significantly lower proportion of patients with migraine-like headache and a higher proportion of male patients and patients with allodynia. There was no statistically significant correlation of any of the clinical parameters with the type or severity of the posttraumatic headache or rate of allodynia. The high rate of allodynia in the study group may indicate a central sensitization in posttraumatic headache.

Original languageEnglish
Pages (from-to)1213-1219
Number of pages7
JournalJournal of Child Neurology
Volume31
Issue number10
DOIs
StatePublished - 1 Sep 2016

Keywords

  • allodynia
  • migraine headache
  • mild traumatic brain injury
  • moderate to severe traumatic brain injury
  • tension headache

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