Mustafa Yasin IRMAK, Ayşe RODOPMAN ARMAN, Dilşad TÜRKDOĞAN, Gülten THOMAS

Posttraumatic Severe Chronic Headache: An Adolescent with Postconcussion Syndrome

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.

Anahtar Kelimeler:

Headache, postconcussion syndrome, trauma

Posttraumatic Severe Chronic Headache: An Adolescent with Postconcussion Syndrome

Keywords:

Başağrısı, postkonküzyon sendromu, travma,

PDF

___

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.