Balla J, Karnaghan J
Department of Neurology, Prince Henry's Hospital, Melbourne, Victoria.
Clin Exp Neurol. 1987;23:179-82.
This study considers the natural history and characteristics of headache occurring after whiplash injuries. Previous descriptions generally failed to distinguish between the headaches seen at various stages after the injury. In a prospective study of 180 cases of acute whiplash injury, it was demonstrated that 82% suffered from headache. One hundred and twenty-two cases were analysed to describe the type of headache seen and it was shown that in the majority rapid improvement occurred over a matter of some weeks. In a retrospective analysis of over 5000 cases of whiplash injury, about 25% developed chronic disability. Practically all of these had headaches. A retrospective analysis of 100 cases describes a spectrum of headaches different from those seen after the acute illness. The pathogenesis of the two types of headache is likely to be different and this needs to be investigated before rational treatment can be instituted.
本研究探讨了挥鞭伤后头痛的自然病史及特点。以往的描述通常未能区分损伤后不同阶段出现的头痛。在一项对180例急性挥鞭伤患者的前瞻性研究中，结果表明82%的患者患有头痛。对122例患者进行分析以描述所出现的头痛类型，结果显示大多数患者在几周内迅速好转。在一项对5000多例挥鞭伤病例的回顾性分析中，约25%的患者出现慢性残疾。实际上所有这些患者都有头痛症状。一项对100例病例的回顾性分析描述了一系列与急性病后所见不同的头痛。这两种类型头痛的发病机制可能不同，在能够制定合理治疗方案之前，需要对此进行研究。
