Seifert Tad
Sports Concussion Program, Norton Healthcare, NCAA Headache Task Force, 3991 Dutchmans Lane, Suite 310, Louisville, KY 40207, USA.
Neurol Clin. 2016 Aug;34(3):733-46. doi: 10.1016/j.ncl.2016.04.010. Epub 2016 Jun 3.
With regard to persistent posttraumatic headache, there is legitimate concern that duration of symptoms may have an impact on the efficacy of future treatment attempts. Without neuropathologic confirmation, a clinical diagnosis of chronic traumatic encephalopathy cannot be made with a high degree of confidence. Sport-related headaches are challenging in a return-to-play context, because it is often unclear whether an athlete has an exacerbation of a primary headache disorder, has new-onset headache unrelated to trauma, or is in the recovery phase after concussion. Regular physical exercise may prove beneficial to multiple neurologic disease states.
关于创伤后持续性头痛,人们合理地担心症状持续时间可能会影响未来治疗尝试的效果。未经神经病理学证实,慢性创伤性脑病的临床诊断难以高度确信。在恢复比赛的情况下,与运动相关的头痛具有挑战性,因为通常不清楚运动员是原发性头痛疾病加重、出现了与创伤无关的新发头痛,还是处于脑震荡后的恢复阶段。定期体育锻炼可能对多种神经系统疾病状态有益。