The Influence of Sex and Pre-Traumatic Headache on the Incidence and Severity of Headache After Head Injury

Author:

Jensen Ole Kudsk1,Nielsen Frank Farsø1

Affiliation:

1. Ole Kudsk Jensen, Department of Rheumatology; Frank Farsø Nielsen, Department of Orthopaedic Surgery, The County Hospital of the University of Aarhus, 8000 Aarhus C, Denmark;

Abstract

Pre- and post-traumatic headache of 168 individuals aged 18–60 years was registered 9–12 months after a head trauma. Headache before the trauma was reported by 39.9%, women being in the majority. After the trauma 64.3% were suffering from headache. Post-traumatic headache was reported by 64 patients (38.1%), of whom 22 patients experienced an increase of already existing headache and 42 patients complained of new headache. Patients suffering from headache before the trauma were not more at risk of having post-traumatic headache than patients who did not suffer from headache before the trauma. Patients who experienced an increase of already-existing pre-traumatic headache used more analgesics than patients first suffering from headache after the trauma. Post-traumatic headache was reported by more women than men ( p < 0.02), the corresponding relative risk being 1.6. Both the use of analgesics and the frequency of headache showed a significant increase for patients with post-traumatic headache when compared with a “control group” of 41 patients with unchanged headache and when compared with all patients with headache before the trauma. There was no significant difference in the location of pain between the groups analysed.

Publisher

SAGE Publications

Subject

Clinical Neurology,General Medicine

Reference8 articles.

1. Headache

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3. 4 Friedman AP. The so-called post-traumatic headache. In:Walker AE, Caveness WF, Critchley M edsThe late effects of head injury.Springfield (III.):Thomas 1969:55–71.

4. Symptoms at one year following concussion from minor head injuries

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