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Posttraumatic Severe Chronic Headache: An Adolescent with Postconcussion Syndrome

Year 2016, Volume: 43 Issue: 2, 351 - 355, 01.06.2016

Abstract

Post-concussion syndrome (PCS), apart from occurring
in the wake of mild traumatic brain injuries (TBIs) in
general, may also occur as the result of moderate TBIs.
PCS patients may exhibit symptoms of physical, psychiatric
(emotional and behavioral) and cognitive inabilities.
Patients, except for the 10%, make a full recovery between
3-6 months. While patients with PCS show vitally
acute symptoms at the outset, the clinical recovery is dramatically
good. A fifteen-year-old female patient who had
undergone a head trauma as the result of falling down
from height showed a clinically dramatic recovery after an
18-day-treatment of intensive care.
We aimed to draw the attention to the association between
the psychiatric findings that appeared to be likely
to be associated with negative life events and the clinical
picture of a post-traumatic severe headache resistant to
treatment. This clinical picture, when dealt with the holistic
multidisciplinary approach, may indicate PCS to us.

References

  • 1. Rao V, Lyketsos CG. Psychiatric aspects of traumatic brain injury. Psychiatr Clin North Am 2002;25:43-69.
  • 2. Prigatano GP, Gale SD. The current status of postconcussion syndrome. Curr Opin Psychiatry 2011; 24:243-250.
  • 3. Ryan LM, Warden DL. Post concussion syndrome. Int Rev Psychiatry 2003; 15:310-316.
  • 4. Hall RC, Hall RC, Chapman MJ. Definition, diagnosis, and forensic implications of postconcussional syndrome. Psychosomatics 2005;46:195-202.
  • 5. Messé A, Caplain S, Pélégrini-Issac M, et al. Specific and evolving resting-state network alterations in post-concussion syndrome following mild traumatic brain injury. PloS one 2013; 8:e65470.
  • 6. Keskin N, Tamam L. Treatment in Postconcussional Syndrome. Psikiyatride Guncel Yaklasimlar-Current Approaches in Psychiatry 2013; 5:95-108.
  • 7. Collinge CA, Stern S, Cordes S, Lautenschlager EP. Mechanical properties of small fragment screws. Clin Orthop Relat Res 2000;373:277-284.
  • 8. World Health Organization. ICD-10: International Statistical Classification of Diseases and Related Health Problems: 10th revision: World Health Organization; 1992.
  • 9. Fàbregas N, Gambús PL, Valero R, et al. Can bispectral index monitoring predict recovery of consciousness in patients with severe brain injury? Anesthesiology 2004;101:43-51.
  • 10. Cassidy JD, Carroll L, Peloso P, et al. Incidence, risk factors and prevention of mild traumatic brain injury: results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J Rehabil Med 2004;36:28-60.
  • 11. Gass CS, Apple C. Cognitive complaints in closed-head injury: relationship to memory test performance and emotional disturbance. J Clin Exp Neuropsychol 1997;19:290-299.
  • 12. Johnson VE, Stewart W, Smith DH. Axonal pathology in traumatic brain injury. Exp Neurol 2013;246:35-43.
  • 13. Solomon S. Post-Traumatic Headache: Commentary: An Overview. Headache: The Journal of Head and Face Pain 2009;49:1112-1115.
  • 14. Gupta MA. Review of somatic symptoms in post-traumatic stress disorder. Int Rev Psychiatry 2013;25:86-99.
  • 15. King N. Mild head injury: neuropathology, sequelae, measurement and recovery. Br J Clin Psychol 1997;36:161-184.
  • 16. Erken DD, Okay İT, Dilbaz N. Psikiyatride Beyin Sarsılması Sonrası Sendromu. Klin Psikofarmakol B 2008;18.
  • 17. Ewing R, McCarthy D, Gronwall D, Wrightson P. Persisting effects of minor head injury observable during hypoxic stress. J Clin Exp Neuropsychol 1980;2:147-155.
  • 18. Reddy CC. Postconcussion syndrome: a physiatrist’s approach. PM&R 2011; 3:S396-S405.
  • 19. Silver J, McAllister T, Arciniegas D. Depression and cognitive complaints following mild traumatic brain injury. Am J Psychiatry 2009;166:653-661.
  • 20. Rapoport MJ, Chan F, Lanctot K, Herrmann N, McCullagh S, Feinstein A. An open-label study of citalopram for major depression following traumatic brain injury. J Psychopharmacol 2008;22:860-864.
  • 21. Fann JR, Uomoto JM, Katon WJ. Sertraline in the treatment of major depression following mild traumatic brain injury. J Neuropsychiatry Clin Neurosci 2000; 12:226-32.
  • 22. Fann J, Katon W, Uomoto J, Esselman P. Psychiatric disorders and functional disability in outpatients with traumatic brain injuries. Am J Psychiatry 1995;152:1493-1499.
  • 23. Lee H, Kim SW, Kim JM, et al. Comparing effects of methylphenidate, sertraline and placebo on neuropsychiatric sequelae in patients with traumatic brain injury. Hum Psychopharmacol 2005;20:97-104.

Posttraumatic Severe Chronic Headache: An Adolescent with Postconcussion Syndrome

Year 2016, Volume: 43 Issue: 2, 351 - 355, 01.06.2016

Abstract

Post-concussion syndrome (PCS), apart from occur­ring in the wake of mild traumatic brain injuries (TBIs) in general, may also occur as the result of moderate TBIs. PCS patients may exhibit symptoms of physical, psychi­atric (emotional and behavioral) and cognitive inabilities. Patients, except for the 10%, make a full recovery be­tween 3-6 months. While patients with PCS show vitally acute symptoms at the outset, the clinical recovery is dra­matically good. A fifteen-year-old female patient who had undergone a head trauma as the result of falling down from height showed a clinically dramatic recovery after an 18-day-treatment of intensive care. We aimed to draw the attention to the association be­tween the psychiatric findings that appeared to be likely to be associated with negative life events and the clinical picture of a post-traumatic severe headache resistant to treatment. This clinical picture, when dealt with the ho­listic multidisciplinary approach, may indicate PCS to us.

References

  • 1. Rao V, Lyketsos CG. Psychiatric aspects of traumatic brain injury. Psychiatr Clin North Am 2002;25:43-69.
  • 2. Prigatano GP, Gale SD. The current status of postconcussion syndrome. Curr Opin Psychiatry 2011; 24:243-250.
  • 3. Ryan LM, Warden DL. Post concussion syndrome. Int Rev Psychiatry 2003; 15:310-316.
  • 4. Hall RC, Hall RC, Chapman MJ. Definition, diagnosis, and forensic implications of postconcussional syndrome. Psychosomatics 2005;46:195-202.
  • 5. Messé A, Caplain S, Pélégrini-Issac M, et al. Specific and evolving resting-state network alterations in post-concussion syndrome following mild traumatic brain injury. PloS one 2013; 8:e65470.
  • 6. Keskin N, Tamam L. Treatment in Postconcussional Syndrome. Psikiyatride Guncel Yaklasimlar-Current Approaches in Psychiatry 2013; 5:95-108.
  • 7. Collinge CA, Stern S, Cordes S, Lautenschlager EP. Mechanical properties of small fragment screws. Clin Orthop Relat Res 2000;373:277-284.
  • 8. World Health Organization. ICD-10: International Statistical Classification of Diseases and Related Health Problems: 10th revision: World Health Organization; 1992.
  • 9. Fàbregas N, Gambús PL, Valero R, et al. Can bispectral index monitoring predict recovery of consciousness in patients with severe brain injury? Anesthesiology 2004;101:43-51.
  • 10. Cassidy JD, Carroll L, Peloso P, et al. Incidence, risk factors and prevention of mild traumatic brain injury: results of the WHO Collaborating Centre Task Force on Mild Traumatic Brain Injury. J Rehabil Med 2004;36:28-60.
  • 11. Gass CS, Apple C. Cognitive complaints in closed-head injury: relationship to memory test performance and emotional disturbance. J Clin Exp Neuropsychol 1997;19:290-299.
  • 12. Johnson VE, Stewart W, Smith DH. Axonal pathology in traumatic brain injury. Exp Neurol 2013;246:35-43.
  • 13. Solomon S. Post-Traumatic Headache: Commentary: An Overview. Headache: The Journal of Head and Face Pain 2009;49:1112-1115.
  • 14. Gupta MA. Review of somatic symptoms in post-traumatic stress disorder. Int Rev Psychiatry 2013;25:86-99.
  • 15. King N. Mild head injury: neuropathology, sequelae, measurement and recovery. Br J Clin Psychol 1997;36:161-184.
  • 16. Erken DD, Okay İT, Dilbaz N. Psikiyatride Beyin Sarsılması Sonrası Sendromu. Klin Psikofarmakol B 2008;18.
  • 17. Ewing R, McCarthy D, Gronwall D, Wrightson P. Persisting effects of minor head injury observable during hypoxic stress. J Clin Exp Neuropsychol 1980;2:147-155.
  • 18. Reddy CC. Postconcussion syndrome: a physiatrist’s approach. PM&R 2011; 3:S396-S405.
  • 19. Silver J, McAllister T, Arciniegas D. Depression and cognitive complaints following mild traumatic brain injury. Am J Psychiatry 2009;166:653-661.
  • 20. Rapoport MJ, Chan F, Lanctot K, Herrmann N, McCullagh S, Feinstein A. An open-label study of citalopram for major depression following traumatic brain injury. J Psychopharmacol 2008;22:860-864.
  • 21. Fann JR, Uomoto JM, Katon WJ. Sertraline in the treatment of major depression following mild traumatic brain injury. J Neuropsychiatry Clin Neurosci 2000; 12:226-32.
  • 22. Fann J, Katon W, Uomoto J, Esselman P. Psychiatric disorders and functional disability in outpatients with traumatic brain injuries. Am J Psychiatry 1995;152:1493-1499.
  • 23. Lee H, Kim SW, Kim JM, et al. Comparing effects of methylphenidate, sertraline and placebo on neuropsychiatric sequelae in patients with traumatic brain injury. Hum Psychopharmacol 2005;20:97-104.
There are 23 citations in total.

Details

Other ID JA36DJ28ES
Journal Section Research Article
Authors

Mustafa Yasin Irmak This is me

Ayşe Rodopman Arman This is me

Dilşad Türkdoğan This is me

Gülten Thomas This is me

Publication Date June 1, 2016
Submission Date June 1, 2016
Published in Issue Year 2016 Volume: 43 Issue: 2

Cite

APA Irmak, M. Y., Rodopman Arman, A., Türkdoğan, D., Thomas, G. (2016). Posttraumatic Severe Chronic Headache: An Adolescent with Postconcussion Syndrome. Dicle Medical Journal, 43(2), 351-355.
AMA Irmak MY, Rodopman Arman A, Türkdoğan D, Thomas G. Posttraumatic Severe Chronic Headache: An Adolescent with Postconcussion Syndrome. diclemedj. June 2016;43(2):351-355.
Chicago Irmak, Mustafa Yasin, Ayşe Rodopman Arman, Dilşad Türkdoğan, and Gülten Thomas. “Posttraumatic Severe Chronic Headache: An Adolescent With Postconcussion Syndrome”. Dicle Medical Journal 43, no. 2 (June 2016): 351-55.
EndNote Irmak MY, Rodopman Arman A, Türkdoğan D, Thomas G (June 1, 2016) Posttraumatic Severe Chronic Headache: An Adolescent with Postconcussion Syndrome. Dicle Medical Journal 43 2 351–355.
IEEE M. Y. Irmak, A. Rodopman Arman, D. Türkdoğan, and G. Thomas, “Posttraumatic Severe Chronic Headache: An Adolescent with Postconcussion Syndrome”, diclemedj, vol. 43, no. 2, pp. 351–355, 2016.
ISNAD Irmak, Mustafa Yasin et al. “Posttraumatic Severe Chronic Headache: An Adolescent With Postconcussion Syndrome”. Dicle Medical Journal 43/2 (June 2016), 351-355.
JAMA Irmak MY, Rodopman Arman A, Türkdoğan D, Thomas G. Posttraumatic Severe Chronic Headache: An Adolescent with Postconcussion Syndrome. diclemedj. 2016;43:351–355.
MLA Irmak, Mustafa Yasin et al. “Posttraumatic Severe Chronic Headache: An Adolescent With Postconcussion Syndrome”. Dicle Medical Journal, vol. 43, no. 2, 2016, pp. 351-5.
Vancouver Irmak MY, Rodopman Arman A, Türkdoğan D, Thomas G. Posttraumatic Severe Chronic Headache: An Adolescent with Postconcussion Syndrome. diclemedj. 2016;43(2):351-5.