title: Traumatic migraine versus concussion: a case report.
abstract: BACKGROUND
  An era of increased awareness of sports concussions may decrease a provider's ability to diagnose the athlete's actual condition and may ultimately prolong the restriction of the injured athlete from sports. Trauma-triggered migraine is a source of headaches, especially in athletes with a family history of migraines.
  
  
  METHODS
  Research articles were primarily obtained through the electronic database PubMed from 1993 to August 2012. Primary research parameters included trauma-induced headaches, trauma-induced migraines, and posttraumatic migraine. The secondary search parameters included concussions, migraine treatments, and traumatic migraine treatments.
  
  
  METHODS
  Clinical review with case report.
  
  
  METHODS
  Level 5.
  
  
  RESULTS
  There are no symptoms that distinguish trauma-triggered migraines from concussions, as headache is the most common complaint for both conditions. There is a paucity of studies that offer treatment guidelines for athletes with recurring headaches after trauma sustained during sporting events. Preventive treatment of migraines has been validated and proven effective.
  
  
  CONCLUSIONS
  Trauma-triggered migraine should be considered in the differential for recurrent trauma-induced headaches. There is a lack of research evaluating efficacy and side effects of treatment of trauma-triggered migraine, and no information was found directing when an athlete can safely return to play.
authors.affiliation: Tripler Army Medical Center, Honolulu, Hawaii.
authors.forename: Quinton
authors.initials: Q
authors.lastname: Lords
authors.affiliation: Tripler Army Medical Center, Honolulu, Hawaii.
authors.forename: Jeffery P
authors.initials: JP
authors.lastname: Greene
keywords: concussion; headache; migraine