Model System:

TBI

Reference Type:

Journal

Accession No.:

J75704

Journal:


Journal of Neurotrauma

Year, Volume, Issue, Page(s):

, 34, 8, 1558-1564

Publication Website:

Abstract:

Study determined the prevalence, characteristics, and risk factors for self-reported headache across a 5-year period in individuals with moderate-to-severe traumatic brain injury (TBI) injury. A total of 316 participants were prospectively enrolled during their inpatient rehabilitation from February 2008 to June 2009 across 7 acute rehabilitation centers designated as TBI Model Systems centers and interviewed at 3, 6, 12, and 60 months after injury. The participants were 72 percent male, 73 percent white, with an average age of 42 years, and 55 percent were injured in motor vehicle crashes. Pre-injury headache was reported in 17 percent of individuals. New or worse headache prevalence remained consistent with at least 33 percent at all time points. Incidence was greater than 17 percent at each time point, with first report of new or worse headache in 20 percent of participants at 60 months. Disability-related to headache was high, with average headache pain (on 0–10 scale) ranging from 5.5 at baseline to 5.7 at 60 months post-injury, and reports of substantial impact on daily life across all time points. More than half of the classifiable headaches matched the profile of migraine or probable migraine. Headache is a substantial problem after TBI; these results suggest that ongoing assessment and treatment of headache after TBI is needed, as this symptom may be a problem up to 5 years after injury.

Author(s):


Stacey, Arthur, Lucas, Sylvia, Dikmen, Sureyya, Temkin, Nancy, Bell, Kathleen R., Brown, Allen , Brunner, Robert, Diaz-Arrastia, Ramon, Watanabe, Thomas K., Weintraub, Alan, Hoffman, Jeanne M.

Participating Centers: