Pediatric Posttraumatic Headache

Concussion and mild traumatic brain injury are common injuries in pediatrics, and post-traumatic headache is the most common complaint following these injuries. While most children and teens recover from a simple, isolated concussion without incident within 1-2 weeks, some develop symptoms that can last for months. It is important to manage both acute and persistent post-traumatic headaches appropriately in order to speed recovery, minimize disability and maximize function. In this manuscript we will review the definitions, epidemiology and current recommendations for the evaluation and treatment of acute and persistent post-traumatic headaches.
Source: Seminars in Pediatric Neurology - Category: Neurology Authors: Source Type: research

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CONCLUSIONS: These preliminary findings suggest that CRF and by proxy physical activity may be important factors in understanding the increased risk of cardiovascular and metabolic disease associated with PTSD. PMID: 32060558 [PubMed - as supplied by publisher]
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
CONCLUSIONS: These findings support the use of patient experiences and feedback to aide product development. In addition, post-9/11 veterans support the use of eScreening to assist health screening. However, evaluating the eScreening program in more diverse veteran groups and Veterans Affairs settings is needed to improve the generalizability of these findings to the larger veteran population. PMID: 32060553 [PubMed - as supplied by publisher]
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
Authors: Teixeira JC, Jackson PJ Abstract Distinguishing between central and peripheral causes of vertigo can be challenging not only in an acute setting but also in chronic settings. A thorough review of systems and physical exam can assist providers in differentiating central versus peripheral etiologies and the need for urgent imaging. In this case, a 47-year-old man presented with vertigo, right-sided hearing loss, right-sided headache, and right-sided facial pain that began 4 weeks before while the patient was on a cruise ship. His physical exam findings were notable for anisocoria with right pupil 3.5 an...
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
ConclusionsNatalizumab is highly effective as measured by the NEDA long-term remission parameter.ResumenIntroducciónLa efectividad y seguridad de natalizumab en pacientes con esclerosis múltiple remitente recurrente (EMRR) se demostró en ensayos clínicos. Sin embargo, por las limitaciones de estos, es importante saber cómo se comporta en condiciones de práctica clínica a largo plazo.ObjetivoConocer la eficacia a largo plazo de natalizumab en pacientes con EMRR mediante la evaluación anual del NEDA (no evidence of disease activity), que incluye número de brotes,...
Source: Neurologia - Category: Neurology Source Type: research
AbstractAerophagia is a functional gastrointestinal disorder characterized by excessive swallowing of air associated with abdominal distension and pain, flatulence, belching, nausea, and vomiting. The purpose of the current study was to evaluate the effectiveness of an antecedent-based behavioral intervention on aerophagia with an adolescent female diagnosed with Lennox-Gastaut syndrome (LGS), severe intellectual disability, and herpes simplex virus infection of the central nervous system with chronic static encephalopathy. Results from a functional analysis and multiple-component aerophagia assessment suggested that aerop...
Source: Journal of Developmental and Physical Disabilities - Category: Disability Source Type: research
About one in seven people lives with what's ranked as the second-most debilitating disease on the planet, but experts say research into its causes and treatments is dramatically underfunded.
Source: Health News: CBSNews.com - Category: Consumer Health News Source Type: news
CONCLUSION: Future directions for behavioral management of headache triggers as a potential treatment for chronic post-traumatic headaches after mTBI are discussed. PMID: 31256091 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research
Conclusions: Pre-injury psychiatric and pre-injury headache/migraine symptoms are risk factors for worse functional and post-concussive outcomes at 3- and 6-months post-mTBI. mTBI patients presenting to acute care should be evaluated for psychiatric and headache/migraine history, with lower thresholds for providing TBI education/resources, surveillance, and follow-up/referrals. Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT01565551. Introduction Traumatic brain injury (TBI) remains a significant cause of morbidity and mortality worldwide. In 2013 ~2.8 million TBI cases were recorded annually i...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
This study examined comorbidities and baseline test results in athletes with self-reported migraine histories.Background:Athletes with migraines might be at greater risk for sustaining concussions, having post-traumatic migraines, and experiencing prolonged recovery from sport-related concussion. However, little is known about baseline performance in athletes with migraines.Design/Methods:Participants were 28,780 adolescent student athletes from Maine who completed baseline preseason testing with ImPACT® between 2009 and 2013. They had no history of concussion in the past 6 months.Results:Athletes with a migraine histo...
Source: Neurology - Category: Neurology Authors: Tags: Neuroscience in the Clinic: Cutting Edge Concussion Data from the NCAA-DoD Grand Alliance Source Type: research
Conclusions: Patients who present to the outpatient neurology concussion clinic and continue to endorse symptoms beyond 30 days are very likely to endorse severe and frequent headaches that can be classified into migraines. Those who endorse migraine headaches are highly likely to be females. A neurology concussion clinic should be equipped to handle patients with more severe symptoms who are more likely to endorse academic and emotional difficulties. Migraine management expertise would also be needed.Disclosure: Dr. Hawash has nothing to disclose.
Source: Neurology - Category: Neurology Authors: Tags: Neuro Trauma and Sports Neurology Source Type: research
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