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Knowledge transfer and education
A sample of headache incidence in post concussive patients
  1. Donna Ouchterlony1,
  2. Patricia Johnson1,*,
  3. Amy Wong1,
  4. Alicja Michalak1,
  5. Jane Topolovec-Vranic1,
  6. Cheryl Masanic1,2,
  7. Zeesham Waseem1
  1. 1Head Injury Clinic, St. Michael's Hospital, Toronto, Ontario, Canada
  2. 2Toronto Rehabilitation Institute, Toronto, Ontario, Canada


    Objective Headache is one of the most common and debilitating symptoms after traumatic brain injury (TBI) and may persist months to years after the initial injury. The purpose of this pilot project was to determine the incidence and characteristics of headaches within the TBI population.

    Design Descriptive study.

    Setting Data were collected from an out-patient clinic specialising in the management of TBI.

    Participants 42 patients (24 male, 18 female) with headache symptoms.

    Intervention Treating physicians collected data on only one appointment for each patient. Of the 160 patients visiting the clinic in May 2012, 30% complained of headaches. Headache symptoms were defined by the International Headache Society Classification ICHD-II criteria.

    Outcome Measures Measures relating to gender, time since head injury, type of headache, severity of headache, frequency of headaches, location of headache and current medication were recorded.

    Results Fifty-seven percent of the population was male. Almost 40% of patients had sustained a head injury over a year prior to data collection. Half of the subjects suffered from tension-type headaches, 14% of patients from migraines, and 7% from both migraine and tension-type headaches. One third reported headaches to occur on a daily basis and 81% percent suffered from headaches that were at least moderate in severity. Thirty-six percent of patients were taking either Advil or Tylenol at the time of data collection.

    Conclusions The pilot data confirmed clinical belief of the necessity to conduct large-scale trials to implement and evaluate interventions for the management of headaches in the TBI population.

    Competing interests None.

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