Hang Tuah Medical Journal
Vol 20 No 2 (2023): Hang Tuah Medical Journal

Tension-type Headache and Migraine as Manifestations of Chronic Post-Traumatic Headache: Case Report

ERIC HARTONO TEDYANTO (Sanglah Hospital)
I MADE OKA ADNYANA (Department of Neurology, Faculty of Medicine, Universitas Udayana/Sanglah General Hospital, Bali, Indonesia)
I PUTU EKA WIDYADHARMA (Department of Neurology, Faculty of Medicine, Universitas Udayana/Sanglah General Hospital, Bali, Indonesia)



Article Info

Publish Date
31 May 2023

Abstract

Introduction: A subsequent headache that appears within seven days of a head injury is referred to as a post-traumatic headache (PTHA) (or after regaining consciousness after the head trauma). If a post-traumatic headache lasts longer than three months after the injury, it is referred to as chronic or chronic post-traumatic headache (CPTHA). Case Report: A 17-year-old male comes to the neurology outpatient clinic with complaints of headache. The headache has been felt since 3 months ago, 3 days after the patient suffered a blow to his left head from falling from a chair. At that time, the patient fainted about 15 minutes later; the patient regained consciousness and had no complaints. Pain is felt on the left side of the head, throbbing, mild-moderate intensity, and feels heavier when there is a loud sound or seeing a too-bright light. Discussion: Like other primary headaches, post-traumatic headache is diagnosed clinically. Laboratory and routine diagnostic imaging studies are unnecessary and have minimal clinical utility. Brain MRI did not reveal any structural changes in patients with PTHA following injury. Conclusion: Chronic post-traumatic headaches often occur after brain injury, especially after minimally traumatic brain injury. The clinical picture is variable and may be similar to tension-type headaches and/or migraines.

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Journal Info

Abbrev

jurnal

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

Description

Hang Tuah Medical Journal: is published by Faculty of medicine, Universitas Hang Tuah with p-ISSN: 1693-1238 e-ISSN: 2598-4861. Its disciplinary focus is medical science and speciality in bio marine science. Hang Tuah Medical Journal is published in English and Indonesia for May and November. Each ...