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Controversies in Neurology
December 2000

Posttraumatic HeadacheA Neurobehavioral Disorder

Author Affiliations

From the Michigan Head Pain & Neurological Institute, Ann Arbor.

 

JOHN N.WHITAKERMD

Arch Neurol. 2000;57(12):1776-1778. doi:10.1001/archneur.57.12.1776

CHRONIC headache is present in most patients with postconcussional syndrome, and at least a transient headache is nearly a universal symptom following mild to moderate head injury. In my view, there currently exists a substantial body of data that support the neurobiological basis of chronic posttraumatic headache. Here are some of the key elements that support this position.

• The selective vulnerability to head-traumatic injury and sequelae may be explained in part by genetic, gender-related, or neuroanatomical factors, or principles of physics.

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