title: Persistent Headache and Cephalic Allodynia Attributed to Head Trauma in Children and Adolescents.
abstract: The aim of the study was to investigate clinical features of headache associated with minor versus moderate to severe traumatic brain injury and of posttraumatic versus primary headache in children and adolescents. Study group included 74 patients after mild (n = 60) or moderate to severe (n = 14) traumatic brain injury identified by retrospective review of the computerized files of a tertiary pediatric headache clinic. Forty patients (54%) had migraine-like headache, 23 (31.1%) tension-like headache, and 11 (14.9%) nonspecified headache. Fourteen patients (53.8%) had allodynia. In comparison with 174 control patients, the study group had a significantly lower proportion of patients with migraine-like headache and a higher proportion of male patients and patients with allodynia. There was no statistically significant correlation of any of the clinical parameters with the type or severity of the posttraumatic headache or rate of allodynia. The high rate of allodynia in the study group may indicate a central sensitization in posttraumatic headache.
authors.affiliation: Pediatric Headache Clinic, Day Hospitalization Department, Schneider Children's Medical Center of Israel, Petach Tikva, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel eidlitz@post.tau.ac.il.
authors.forename: Tal Eidlitz
authors.initials: TE
authors.lastname: Markus
authors.affiliation: Pediatric Headache Clinic, Day Hospitalization Department, Schneider Children's Medical Center of Israel, Petach Tikva, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Avraham
authors.initials: A
authors.lastname: Zeharia
authors.affiliation: Pediatric Headache Clinic, Day Hospitalization Department, Schneider Children's Medical Center of Israel, Petach Tikva, Israel Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Yishai Haimi
authors.initials: YH
authors.lastname: Cohen
authors.affiliation: Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Department of Pediatric Radiology, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.
authors.forename: Osnat
authors.initials: O
authors.lastname: Konen
mesh_terms: D000293:Adolescent; D000070642:Brain Injuries, Traumatic / Q000150:complications* / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006930:Hyperalgesia / Q000453:epidemiology / Q000209:etiology*; D008297:Male; D008881:Migraine Disorders / Q000453:epidemiology / Q000209:etiology; D051298:Post-Traumatic Headache / Q000453:epidemiology / Q000209:etiology*; D012189:Retrospective Studies; D012720:Severity of Illness Index; D018781:Tension-Type Headache / Q000453:epidemiology / Q000209:etiology
keywords: allodynia; migraine headache; mild traumatic brain injury; moderate to severe traumatic brain injury; tension headache