Department of Neurology, Headache Division, University of Miami, Miller School of Medicine, 1120 NW 14th Street, 13th Floor, Miami, FL, 33136, USA,
Curr Neurol Neurosci Rep. 2014 Feb;14(2):428. doi: 10.1007/s11910-013-0428-2.
Despite the growing awareness of mild traumatic brain injury in military and civilian populations, understanding of the acute and chronic effects of concussion on central nervous system structure and function is limited. Even less is understood about the underpinnings of the cardinal postconcussive symptom, post-traumatic headache (PTH). Here, we review recent advances in PTH, with special emphasis on the migraine-like phenotype, the most disabling form. Considerations for future research in PTH are discussed, including diagnostic classification, and applications with advanced neuroimaging techniques, biomarkers, and treatments.
尽管军事和民用人群中对轻度创伤性脑损伤的认识不断提高,但对脑震荡对中枢神经系统结构和功能的急性和慢性影响的了解仍很有限。对于 concussion 后最常见的症状之一,即创伤后头痛 (PTH) 的根本原因,人们的了解就更少了。在这里,我们回顾了 PTH 的最新进展,特别强调了偏头痛样表型,这是最具致残性的形式。讨论了 PTH 未来研究的考虑因素,包括诊断分类以及与先进的神经影像学技术、生物标志物和治疗方法的应用。