Queen Square Institute of Neurology, UCL, UK.
Moorfields Eye Hospital, City Road, London, UK.
J Neurol Sci. 2024 Aug 15;463:123002. doi: 10.1016/j.jns.2024.123002. Epub 2024 Apr 23.
Traumatic brain injury (TBI) is estimated to rank as the third most important disease burden worldwide. About 60% of the survivors develop chronic headaches and visual symptoms, and the long-term management of headaches in these patients is controversial. Importantly, the care pathway of most patients is fragmented, complicating conclusive headache management. Here we review the epidemiology and aetiology of post traumatic headaches (PTH), discuss the diagnostic work up and summarise the acute and long-term management.
创伤性脑损伤(TBI)估计是全球第三大重要疾病负担。约 60%的幸存者会出现慢性头痛和视觉症状,这些患者的头痛长期管理存在争议。重要的是,大多数患者的治疗路径是碎片化的,这使得头痛的明确管理变得复杂。在此,我们回顾了创伤后头痛(PTH)的流行病学和病因学,讨论了诊断评估,并总结了急性和长期管理。