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Headache After Pediatric Traumatic Brain Injury: A Cohort Study
Pediatrics, 01/04/2012
Blume HK et al. – Pediatric traumatic brain injury (TBI) is associated with headache. A substantial number of children suffer from headaches months after their head injury. The prevalence of headache during the year after injury is related to injury severity, time after injury, age, and gender. Girls and adolescents appear to be at highest risk of headache in the months after TBI.
Methods- This is a prospective cohort study of children ages 5 to 17 years in which they analyzed the prevalence of headache 3 and 12 months after mild TBI (mTBI; n = 402) and moderate/severe TBI (n = 60) compared with controls with arm injury (AI; n = 122).
- The prevalence of headache 3 months after injury was significantly higher after mTBI than after AI overall, in adolescents, and in girls.
- The prevalence of headache at 3 months was also higher after moderate/severe TBI than AI in younger children.
- Twelve months after injury, TBI was not associated with a significantly increased frequency of headache.
