Division of Neurology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 2015, Cincinnati, OH, 45229-3039, USA.
Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Paediatr Drugs. 2018 Oct;20(5):385-393. doi: 10.1007/s40272-018-0299-8.
Concussion, now most often referred to as mild traumatic brain injury in recent literature, is common in pediatrics, and headache is often the most common complaint post-injury. Although most children and adolescents recover within 1-2 weeks, some develop frequent and debilitating headaches that can last for months or longer. Most clinicians would agree on the importance of managing both acute and persistent posttraumatic headaches appropriately to speed recovery, minimize disability, maximize function, and improve quality of life, but there are no well-established guidelines to instruct physicians in doing so. As this continues to be a developing field, there is much we still need to learn about concussion and the appropriate strategies to prevent and treat these injuries and their sequelae. This review is intended to help providers understand the current evidence, and sometimes the lack thereof, and ultimately to lead to improved care for children with headaches after mild traumatic brain injury.
脑震荡，现在在最近的文献中通常被称为轻度创伤性脑损伤，在儿科中很常见，头痛通常是受伤后的最常见症状。尽管大多数儿童和青少年在 1-2 周内康复，但有些儿童会出现频繁且使人虚弱的头痛，持续数月甚至更长时间。大多数临床医生都同意适当管理急性和持续性创伤后头痛的重要性，以加快康复速度，最大限度地减少残疾，最大限度地发挥功能并提高生活质量，但是目前尚无既定的指南来指导医生进行此类治疗。随着这一领域的不断发展，我们还有很多关于脑震荡以及预防和治疗这些损伤及其后遗症的适当策略需要学习。本篇综述旨在帮助医务人员了解当前的证据，有时还包括缺乏的证据，并最终改善轻度创伤性脑损伤后头痛患儿的治疗效果。
