Handbook of Pain Syndromes: Biopsychosocial Perspectives

By Andrew R. Block; Edwin F. Kremer et al. | Go to book overview

Chapter 15
Chronic Posttraumatic Headache

Paul N. Duckro John T. Chibnall Saint Louis University

Mild closed head trauma, including acceleration/deceleration injury to the head and neck without direct head strike, is associated with short-term or no loss of consciousness; short-term or no amnesia; and near-normal eye, motor, and verbal responses posttrauma without subsequent deterioration ( Packard & Ham, 1994a). Headache is the most common and intractable complication of mild closed head trauma. Although estimates are variable across studies, the best evidence suggests that 50% to 90% of mild head trauma victims will experience acute headache, 30% to 50% will have headache up to 2 months posttrauma, 20% to 25% will have headache up to 6 months posttrauma, and as many as 10% to 15% will continue to experience significant posttraumatic symptoms, including headache, for 1 year or longer (cf. Alexander, 1995; Alves, Colohan, O'Leary, Rimel, & Jane, 1986; Appenzeller, 1987; Bailey & Gudeman, 1989; Brown, Fann, & Grant, 1994; Jensen & Nielsen, 1990; Moore, 1996; Packard, 1993). With millions of head injuries in the United States each year ( Brown et al., 1994), these percentages represent substantial human and economic costs.

The present chapter is focused on the minority of persons for whom headache becomes chronic (i.e., lasts longer than 6 months) following minor head trauma. Chronic headache does not typically present as a solitary symptom following trauma. Although headache is the most common complication of minor head injury, it is usually one aspect of a syndrome that may include physical (e.g., fatigue, dizziness, tinnitus), psychosocial (e.g., mood swings, depression, irritability, anxiety, anger), and/or cognitive (e.g.,

-303-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this book

This book has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this book

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited page

Bookmark this page
Handbook of Pain Syndromes: Biopsychosocial Perspectives
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
/ 692

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.