Post-traumatic headache from moderate head injury.
The onset of post-traumatic headache occurs frequently in children, where it is often caused by severe head injuries, therefore, it is part of a post-traumatic syndrome, rather than of an independent headache and in this case no cause is clearly evident. The problem, conversely, arises in post-traumatic headache after a light trauma, since it is difficult to establish the cause-effect link. We have studied PTH incidence for one year in the patients of the emergency ward of the Saint Charles of Nancy Hospital, compared to the activity of 4 Italian headache centres. At the Saint Charles of Nancy Hospital of 98 patients with PTH after a moderate head trauma, 18 had acute and 26 chronic PTH, the majority ceased after six months. In the Italian headache centres 1,656 patients were examined, of these 3.2% suffered from PTH: 25 acute, 29 chronic. These data confirm the poor evidence of PTH after a light trauma and lead to doubt of the existence of this nosological entity.
Moscato
Davide
D
Headache Centre San Carlo IDI Rome, Via Aurelia 275, Rome, Italy. d.moscato@idi.it
Peracchi
Maria I
MI
Mazzotta
Giovanni
G
Savi
Lidia
L
Battistella
Pier Antonio
PA
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000175:diagnosis / Q000453:epidemiology*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D051298:Post-Traumatic Headache / Q000175:diagnosis / Q000453:epidemiology*; D012893:Sleep Wake Disorders / Q000175:diagnosis / Q000453:epidemiology; D015599:Trauma Severity Indices