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创伤后头痛与轻度创伤性脑损伤:脑网络与连接。

Post-traumatic Headache and Mild Traumatic Brain Injury: Brain Networks and Connectivity.

机构信息

Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02129, USA.

Carolina Headache Institute, 6114 Fayetteville Rd, Suite 109, Durham, NC, USA.

出版信息

Curr Pain Headache Rep. 2021 Mar 5;25(3):20. doi: 10.1007/s11916-020-00935-y.

Abstract

PURPOSE OF REVIEW

Post-traumatic headache (PTH) consequent to mild traumatic brain injury (mTBI) is a complex, multidimensional, chronic neurological disorder. The purpose of this review is to evaluate the current neuroimaging studies on mTBI and PTH with a specific focus on brain networks and connectivity patterns.

RECENT FINDINGS

We present findings on PTH incidence and prevalence, as well as the latest neuroimaging research findings on mTBI and PTH. Additionally, we propose a new strategy in studying PTH following mTBI. The diversity and heterogeneity of pathophysiological mechanisms underlying mild traumatic brain injury pose unique challenges on how we interpret neuroimaging findings in PTH. Evaluating alterations in the intrinsic brain network connectivity patterns using novel imaging and analytical techniques may provide additional insights into PTH disease state and therefore inform effective treatment strategies.

摘要

目的综述

轻度创伤性脑损伤(mTBI)后出现的创伤后头痛(PTH)是一种复杂的、多维度的、慢性的神经疾病。本综述的目的是评估目前关于 mTBI 和 PTH 的神经影像学研究,特别关注脑网络和连接模式。

最近的发现

我们介绍了 PTH 的发病率和患病率,以及关于 mTBI 和 PTH 的最新神经影像学研究结果。此外,我们提出了一种研究 mTBI 后 PTH 的新策略。轻度创伤性脑损伤的病理生理机制的多样性和异质性对我们如何解释 PTH 的神经影像学发现提出了独特的挑战。使用新的成像和分析技术评估内在脑网络连接模式的改变,可能为 PTH 疾病状态提供更多的见解,从而为有效的治疗策略提供信息。

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