Sport-Related Headache

Sylvia Lucas; Heidi K Blume

doi:10.1016/j.ncl.2017.03.012

Sport-Related Headache

Neurol Clin. 2017 Aug;35(3):501-521. doi: 10.1016/j.ncl.2017.03.012.

Authors

Sylvia Lucas¹, Heidi K Blume²

Affiliations

¹ Department of Neurological Surgery, University of Washington Medical Center, Seattle Sports Concussion Program, Harborview Medical Center, Box 359924, 325 Ninth Avenue, Seattle, WA 98104, USA. Electronic address: lucass@uw.edu.
² Division of Child Neurology, Seattle Children's Hospital and Research Institute, University of Washington, 4800 Sand Point Way, MS: M/S MB 7.420, Seattle, WA 98105, USA.

PMID: 28673412
DOI: 10.1016/j.ncl.2017.03.012

Abstract

Headache occurring in a sports setting may be primary or secondary headache. Headache is the primary symptom reported after concussion. Cumulative incidence and prevalence of posttraumatic headache (PTH) are higher following mild traumatic brain injury (TBI) compared with moderate to severe TBI. Frequency is higher in those with more severe PTH. Migraine or probable migraine is the most common headache type after any severity TBI using primary headache disorder criteria. Management is empiric. Expert opinion recommends treating PTH according to clinical characteristics of primary headache. The most important factor in this approach is the recognition of the severity of headache.

Keywords: Concussion; Migraine; Postconcussive syndrome; Posttraumatic headache; Sports concussion; Tension-type headache.

Publication types

Review

MeSH terms

Athletic Injuries / complications
Brain Concussion / complications*
Humans
Incidence
Post-Traumatic Headache / epidemiology
Post-Traumatic Headache / etiology*
Post-Traumatic Headache / therapy
Prevalence
Sports