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Posttraumatic Headache: Neuropsychological and Psychological Effects and Treatment Implications

 

作者: Michael Martelli,   Revonda Grayson,   Nathan Zasler,  

 

期刊: Journal of Head Trauma Rehabilitation  (OVID Available online 1999)
卷期: Volume 14, issue 1  

页码: 49-69

 

ISSN:0885-9701

 

年代: 1999

 

出版商: OVID

 

关键词: chronic pain;head trauma;neuropsychological tests;posttraumatic headache;treatment

 

数据来源: OVID

 

摘要:

Posttraumatic headache (PTHA) is a frequent occurrence following trauma to the head, brain, and/or neck. Estimates of persistence for 6 months are as high as 44%. Review of available studies examining the effect of headache on neuropsychological test findings reveals that chronic headache pain, and chronic pain generally, exerts a significant and negative effect that poses a challenge to differential diagnostic efforts in the evaluation of mild brain injury. Given that PTHA is the most common postconcussive symptom and most frequent type of posttraumatic pain associated with mild traumatic brain injury (TBI), it follows that resolution of the postconcussion syndrome, and successful posttraumatic adaptation, may frequently rely on success in coping with PTHA symptomatology. Viewing PTHA from a biopsychosocial perspective, a general outline is offered for improving both assessment and treatment of PTHA. In addition, the most promising psychology-based treatment interventions are reviewed.

 



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