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Post-traumatic Headache in Children and Adolescents
Current Pain and Headache Reports ( IF 3.2 ) Pub Date : 2021-06-04 , DOI: 10.1007/s11916-021-00967-y
Elizabeth Doll 1 , Paul Gong 1 , Michael Sowell 1 , Lauren Evanczyk 2
Affiliation  

Purpose of Review

Post-traumatic headache is a common disorder in the pediatric age group, seen both by child neurologists and by non-neurologists. The current review of post-traumatic headache in children and adolescents aims to review the pathophysiology, risk factors, clinical features, neuroimaging, and both acute and preventive treatment options.

Recent Findings

Recent literature provides insight into specific risk factors in the pediatric age group for developing post-traumatic headache as well as unique pathophysiologic changes seen in neuroimaging and neurometabolic pathways. It also elucidates common treatment options and novel treatments being currently explored, such as with monoclonal antibodies to CGRP. Finally, current evidence and guidelines recommend the benefit of a gradual return to normal activity based on symptom stability rather than a specific time period.

Summary

Review of literature on pediatric post-traumatic headache reveals a growing understanding of the factors involved in developing headache after head trauma and the diagnosis/treatment of headache though future research will help further elucidate these areas.



中文翻译:

儿童和青少年的创伤后头痛

审查目的

创伤后头痛是儿科年龄组的常见疾病,儿童神经科医生和非神经科医生都可以看到。目前对儿童和青少年创伤后头痛的综述旨在回顾病理生理学、危险因素、临床特征、神经影像学以及急性和预防性治疗方案。

最近的发现

最近的文献深入了解了儿科年龄组发生创伤后头痛的特定危险因素,以及在神经影像学和神经代谢途径中观察到的独特病理生理变化。它还阐明了目前正在探索的常见治疗方案和新疗法,例如针对 CGRP 的单克隆抗体。最后,当前的证据和指南推荐基于症状稳定性而不是特定时间段逐渐恢复正常活动的好处。

概括

对小儿创伤后头痛文献的回顾揭示了人们对头部创伤后头痛和头痛的诊断/治疗所涉及的因素越来越了解,尽管未来的研究将有助于进一步阐明这些领域。

更新日期:2021-06-04
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