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Chronic post – traumatic headache: medical problem-legal problem
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Mahmood Reza Azarpajooh   1, Naghmeh Mokhber , Hamid Mohebbati |
| 1- , r_azarpazhooh@yahoo.com |
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Abstract: (34099 Views) |
| Abstract:
Background & Aims: The aim of this study was to assess the clinical manifestation and causes of chronic post-traumatic headache. Several publications have emphasized the relationship between head trauma and chronic post-traumatic headache. However, there is little known about the etiology (psychiatric or organic), treatment and particularly legal issues of chronic post-traumatic headache. In spite of the high number of accidents and head trauma this study was preformed in Iran.
Materials & Methods: This was a retrospective study for 2.5 years in Neurology and Psychiatry outpatient clinic of Ghaem and Avicenna Hospitals. Patients included according to the diagnostic criteria of the primary headaches in The International Headache Classification 2nd Edition.
Findings: The clinical presentation of chronic post-traumatic headache in 79 patients was analyzed. 56% of patients were women. The average age of our patients was 32. Headache had an inverse relation with the severity of trauma. 62 patients agreed to follow in this study. 55% had a bad response to treatment and finally did not continue it. 10 patients were referred form the forensic department and 4 fulfilled the criteria of chronic post-traumatic headache.
Conclusion: The results of this study were similar to previous researches. Most of the time headache was not associated with a severe head trauma. It is possible that microscopic brain injury in the level of cellular relation is responsible for chronic post-traumatic headache. Further studies and clinical trials are necessary to clarify the scientific bases and also legal issues of chronic post-traumatic headache. |
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| Keywords: Headache, Chronic Post-Traumatic Headache, Traumatic Brain Injury |
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Full-Text [PDF 236 kb]
(1832 Downloads)
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Type of Article: Research Article |
Subject:
Forensic Medicine
Received: 2008/08/23 | Revised: 2008/11/22 | Accepted: 2018/03/29 | ePublished: 2018/03/29
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