Beth Israel Deaconess Medical Centre, Department of Anaesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USA.
Valley Anaesthesiology and Pain Consultants - Envision Physician Services, Phoenix, AZ, USA.
Anaesthesiol Intensive Ther. 2021;53(3):279-280. doi: 10.5114/ait.2021.103521.
Traumatic brain injuries (TBI) and chronic post-traumatic headaches (PTH) have affected many military personnel. The increasing use of improvised explosive devices have made blast- and explosive-related head injuries more common than in previous wars [1, 2]. Data from Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn demonstrate that a significant portion of military TBIs are caused by blast-related injuries [3, 4]. From 2000 to 2016 more than 350,000 military service members were diagnosed with a TBI [4]. Military troops are at greater risk of developing PTH from head injuries that arise during deployment to combat zones. These patients can be extremely challenging because they often suffer from comorbid conditions including depression and post-traumatic stress disorder (PTSD). Additionally, there is a lack of high-quality studies on the treatment of PTH [5]. This brief report describes a patient who suffered from chronic PTH after sustaining a mild TBI, and our results with greater occipital and auriculotemporal nerve blocks.
创伤性脑损伤 (TBI) 和慢性创伤后头痛 (PTH) 影响了许多军人。简易爆炸装置的使用增加，使爆炸和与爆炸相关的头部损伤比以往战争更为常见[1,2]。来自持久自由行动、伊拉克自由行动和新黎明行动的数据表明，相当一部分军人的 TBI 是由爆炸相关损伤引起的[3,4]。从 2000 年到 2016 年，超过 350,000 名军人被诊断出患有 TBI[4]。军人在部署到战区时头部受伤，患 PTH 的风险更大。这些患者极具挑战性，因为他们经常患有共病，包括抑郁和创伤后应激障碍 (PTSD)。此外，PTH 的治疗缺乏高质量的研究[5]。本简要报告描述了一名轻度 TBI 后患有慢性 PTH 的患者，以及我们在枕大神经和耳颞神经阻滞方面的结果。
