Evans Randolph W
Baylor College of Medicine, 1200 Binz #1370, Houston, TX 77004, USA.
Neurol Clin. 2014 May;32(2):283-303. doi: 10.1016/j.ncl.2013.11.010. Epub 2014 Feb 26.
Posttraumatic headaches are one of the most common and controversial secondary headache types. After mild head injury, more than 50% of people develop a postconcussion syndrome which has been controversial for more than 150 years. Headache is estimated as present in 30% to 90% of patients after mild head injury. Most headaches are of the tension type, although migraines can increase in frequency or occur acutely or chronically de novo. A review is provided of headaches in civilians, soldiers after blast trauma, athletes, and post-craniotomy including pathogenesis. The treatments are the same as for the primary phenotypes.
创伤后头痛是最常见且最具争议的继发性头痛类型之一。轻度头部损伤后，超过50%的人会出现脑震荡后综合征，该综合征已存在150多年且一直存在争议。据估计，轻度头部损伤后30%至90%的患者会出现头痛。大多数头痛为紧张型，不过偏头痛的发作频率可能增加，或者急性或慢性新发。本文综述了平民、爆炸伤后士兵、运动员以及开颅术后患者的头痛情况，包括发病机制。其治疗方法与原发性头痛类型相同。
