Evidence map›Paper›PMID 31638888›Full record

SynthesisThe journal of headache and pain2019

Acute and preventive pharmacological treatment of post-traumatic headache: a systematic review.

Eigil Lindekilde Larsen, Håkan Ashina, Afrim Iljazi, Haidar Muhsen Al-Khazali, Kristoffer Seem, Messoud Ashina, Sait Ashina, Henrik Winther Schytz

3 registry-linked trialsOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in The journal of headache and pain, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
9.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04685772 recruitingnot on this mapstarted 2021, after this paper: background citation

Assessment of the Efficacy of Medrol Dose Pack for Post-Concussive Headaches

Typeobservational_patient_registrySponsorNorthwell HealthRan2021 to 2027Enrolled25ConditionsPost-Concussion Syndrome, HeadacheArmsMethylprednisolone
NCT04799015 phase4completednot on this mapstarted 2021, after this paper: background citation

A Randomized Study of Dexamethasone as Adjuvant Therapy for Acute Post-traumatic Headache

TypeinterventionalSponsorMontefiore Medical CenterRan2021 to 2024Enrolled162ConditionsPost-Traumatic HeadacheArmsDexamethasone, Metoclopramide 10mg
NCT07634393 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Randomized Study of Intravenous Metoclopramide Versus Intravenous Acetaminophen for Acute Concussion Treatment

TypeinterventionalSponsorMontefiore Medical CenterRan2026 to 2028Enrolled200ConditionsConcussion Post Syndrome, Head Trauma InjuryArmsMetoclopramide 10mg, Acetaminophen
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Current evidence for pharmacological management of pediatric concussion: a systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Pooled it
  2. Pooled it
  3. Hypersensitivity to BKThe journal of headache and pain · 2024
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Review
  11. Article
  12. Assessment and Management of Post-traumatic Headache.Current neurology and neuroscience reports · 2026
    Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Eigil Lindekilde LarsenDanish Headache Center, Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Håkan AshinaDanish Headache Center, Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Afrim IljaziDanish Headache Center, Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Haidar Muhsen Al-KhazaliDanish Headache Center, Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Kristoffer SeemDanish Headache Center, Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Messoud AshinaDanish Headache Center, Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Sait AshinaDepartments of Neurology and Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.
Henrik Winther SchytzDanish Headache Center, Department of Neurology, Rigshospitalet Glostrup, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. henrik.winther.schytz.01@regionh.dk.ORCID http://orcid.org/0000-0002-6262-2986
University of Copenhagen · DKBeth Israel Deaconess Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-traumatic headache (PTH) is associated with considerable disability and reduced health-related quality of life. Despite the very high prevalence of PTH, there are no evidence-based guidelines for PTH treatment. Thus, we found it timely to provide a systematic review of the current literature on acute and preventive pharmacological treatment of PTH using PubMed and Embase databases.

findingsIncluded studies involved acute and preventive pharmacological treatment of headache attributed to traumatic injury to the head in adherence to the International Classification of Headache Disorders (ICHD) criteria. Of 1424 potentially relevant articles identified, 63 were retrieved for detailed evaluation and seven studies (one prospective and six retrospective) met the inclusion criteria. None of the seven included studies were randomized clinical trials (RCTs) or used a placebo-controlled study design.

conclusionWe found that there is a lack of high-quality evidence-based studies on the pharmacological treatment of PTH. Future studies are highly needed and must emphasize open-label studies with rigorous methodology or RCTs with a placebo-controlled design.

Indexed as

Analgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalHumansPost-Traumatic HeadachePrevalenceProspective StudiesQuality of LifeRetrospective StudiesTreatment OutcomeAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalConcussionHead injuryPost-traumatic headacheSystematic reviewTraumatic brain injuryTreatment

Identifiers

PMID31638888
PMCPMC6802300
OpenAlexW2980617168

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.