Sabre Liis, Rugo Mariann, Asser Toomas, Kõrv Janika, Braschinsky Mark
Department of Neurology, Neurology Clinic, Tartu University Hospital, Estonia
Faculty of Medicine, University of Tartu, Estonia.
Cephalalgia. 2016 Apr;36(5):403-12. doi: 10.1177/0333102415591505. Epub 2015 Jun 17.
Patients with traumatic spinal cord injury (TSCI) often suffer from different types of pain. However, headaches after TSCI have not been studied.
The aim of this article is to examine the occurrence of headache among patients with TSCI.
This cross-sectional study included individuals with TSCI from 1997 to 2012 in Estonia. Patients with TSCI were interviewed via telephone. The interview was based on a questionnaire specifically designed to identify headache type using the International Classification of Headache Disorders, third edition (beta version).
There were 73 patients with a mean age 37.1 ± 10.6 years. The mean time since TSCI was 7.5 ± 4.0 years. The most frequently mentioned pain was headache (71%), followed by back pain (60%) and pain in neck (44%).Headaches were more frequent after the trauma compared with the headaches before TSCI (71% vs 51%, ITALIC! p = 0.02). Headaches that arose after TSCI were not related to the concomitant brain injury ( ITALIC! p = 0.15). The occurrence of headache did not depend on the severity or the level of the TSCI.Eighty-five percent of patients had not contacted any physician and headache was not diagnosed.
This is the first study that evidentially shows that headache is the most prevalent pain condition after TSCI. Despite this, the majority of patients never consult a physician, nor is their headache diagnosed or appropriately managed. This indicates that further studies are needed to provide evidence regarding the prevalence and causes of headache and its impact on quality of life.
创伤性脊髓损伤（TSCI）患者常遭受不同类型的疼痛。然而，TSCI后的头痛尚未得到研究。
本文旨在研究TSCI患者中头痛的发生率。
这项横断面研究纳入了1997年至2012年爱沙尼亚的TSCI患者。通过电话对TSCI患者进行访谈。访谈基于一份专门设计的问卷，该问卷使用《国际头痛疾病分类》第三版（beta版）来确定头痛类型。
共有73例患者，平均年龄37.1±10.6岁。自TSCI发生后的平均时间为7.5±4.0年。最常提及的疼痛是头痛（71%），其次是背痛（60%）和颈部疼痛（44%）。与TSCI前的头痛相比，创伤后头痛更频繁（71%对51%，斜体！p = 0.02）。TSCI后出现的头痛与伴随的脑损伤无关（斜体！p = 0.15）。头痛的发生不取决于TSCI的严重程度或损伤平面。85%的患者未联系过任何医生，头痛未得到诊断。
这是第一项有证据表明头痛是TSCI后最普遍疼痛状况的研究。尽管如此，大多数患者从未咨询过医生，其头痛也未得到诊断或适当治疗。这表明需要进一步研究以提供关于头痛的患病率、病因及其对生活质量影响的证据。
