Choe Meeryo C, Blume Heidi K
Division of Pediatric Neurology, Mattel Children's Hospital, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Division of Pediatric Neurology, Center for Integrative Brain Research, Seattle Children's Hospital, University of Washington, Seattle, WA, USA
J Child Neurol. 2016 Jan;31(1):76-85. doi: 10.1177/0883073814568152. Epub 2015 Feb 10.
Head injuries are common in pediatrics, and headaches are the most common complaint following mild head trauma. Although moderate and severe traumatic brain injuries occur less frequently, headaches can complicate recovery. There is currently an intense spotlight on concussion and there has been a corresponding increase in the number of children seeking care for headache after mild traumatic brain injury or concussion. Understanding the natural history of, and recognition of factors that are associated with posttraumatic headache will help providers and families to limit disability and may prompt earlier intervention to address disabling headaches. While there are few studies on the treatment of posttraumatic headache, proper evaluation and management of posttraumatic headaches is essential to prevent further injury and to promote recovery. In this article, we will review the current definitions and epidemiology of pediatric posttraumatic headache and discuss current recommendations for the evaluation and management of this syndrome in children and adolescents.
头部损伤在儿科中很常见，头痛是轻度头部创伤后最常见的主诉。虽然中度和重度创伤性脑损伤的发生率较低，但头痛会使恢复过程复杂化。目前，脑震荡受到了高度关注，轻度创伤性脑损伤或脑震荡后因头痛寻求治疗的儿童数量相应增加。了解创伤后头痛的自然病程以及识别与之相关的因素，将有助于医护人员和家庭减少残疾，并可能促使更早地进行干预以解决致残性头痛。虽然关于创伤后头痛治疗的研究很少，但对创伤后头痛进行恰当的评估和管理对于预防进一步损伤和促进恢复至关重要。在本文中，我们将回顾儿科创伤后头痛的当前定义和流行病学，并讨论目前对儿童和青少年该综合征评估和管理的建议。
