Kacperski Joanne, Hung Ryan, Blume Heidi K
Cincinnati Children Hospital Medicine Center, Cincinnati, OH.
Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Semin Pediatr Neurol. 2016 Feb;23(1):27-34. doi: 10.1016/j.spen.2015.08.005. Epub 2015 Aug 19.
Concussion and mild traumatic brain injury are common injuries in pediatrics, and posttraumatic headache is the most common complaint following them. Although most children and teens recover from a simple, isolated concussion without incidents within 1-2 weeks, some develop symptoms that can last for months. It is important to manage both acute and persistent posttraumatic headaches appropriately to speed recovery, minimize disability, and maximize function. In this article, we review the definitions, epidemiology, and current recommendations for the evaluation and treatment of acute and persistent posttraumatic headaches. Although this is still a developing field and there is much that we still need to learn about concussion and the best strategies to prevent and treat these injuries and their sequelae, we hope that this review will help providers to understand the current evidence and treatment recommendations to improve care for children with concussion and mild traumatic brain injury.
脑震荡和轻度创伤性脑损伤是儿科常见的损伤，创伤后头痛是其之后最常见的主诉。尽管大多数儿童和青少年在1 - 2周内可从单纯、孤立的脑震荡中顺利康复，但有些会出现持续数月的症状。妥善处理急性和持续性创伤后头痛对于加快康复、减少残疾并最大化功能十分重要。在本文中，我们回顾了急性和持续性创伤后头痛的定义、流行病学以及当前评估和治疗的建议。尽管这仍是一个发展中的领域，关于脑震荡以及预防和治疗这些损伤及其后遗症的最佳策略，我们仍有许多需要学习的地方，但我们希望这篇综述将有助于医疗服务提供者了解当前的证据和治疗建议，以改善对脑震荡和轻度创伤性脑损伤儿童的护理。
