Evidence map›Paper›PMID 32448142›Full record

ReviewThe journal of headache and pain2020

Persistent post-traumatic headache: a migrainous loop or not? The clinical evidence.

Alejandro Labastida-Ramírez, Silvia Benemei, Maria Albanese, Antonina D'Amico, Giovanni Grillo, Oxana Grosu, Devrimsel Harika Ertem, Jasper Mecklenburg, Elena Petrovna Fedorova, Pavel Řehulka and 6 more

Open access · goldAbstract readReview
In one paragraph

Review in The journal of headache and pain, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Hypersensitivity to BKThe journal of headache and pain · 2024
    Trial
  3. Trial
  4. Assessment and Management of Post-traumatic Headache.Current neurology and neuroscience reports · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Biomarkers and Endophenotypes of Post-traumatic Headaches.Current pain and headache reports · 2024
    Review
  11. Article
  12. Review
  13. Observational
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  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

16 authors at 12 institutions in 8 countries.

Alejandro Labastida-RamírezDivision of Vascular Medicine and Pharmacology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0003-2079-1156
Silvia BenemeiHealth Sciences Department, University of Florence, and Headache Centre, Careggi University Hospital, Florence, Italy.
Maria AlbaneseDepartment of Systems Medicine, Neurology Unit, University of Rome "Tor Vergata", "Tor Vergata" Hospital, Rome, Italy.
Antonina D'AmicoDepartment of Child Neuropsychiatry, University of Palermo, Palermo, Italy.
Giovanni GrilloDepartment of Child Neuropsychiatry, A.R.N.A.S. Civico, P.O. Giovanni di Cristina Ospedale dei Bambini, Palermo, Italy.
Oxana GrosuDiomid Gherman Institute of Neurology and Neurosurgery, Headache Centre and Nicolae Testemițanu State University of Medicine and Pharmacy, Chișinău, Republic of Moldova.
Devrimsel Harika ErtemDepartment of Neurology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.
Jasper MecklenburgDepartment of Neurology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Elena Petrovna FedorovaDepartment of Neurology, Zdorovie Clinic, Tomsk, Russia.
Pavel ŘehulkaDepartment of Neurology, St. Anne's University Hospital and Faculty of Medicine, Masaryk University, Brno, Czech Republic.
Francesca Schiano di ColaNeurology Unit, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Javier Trigo LopezDepartment of Neurology, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Nina VashchenkoUniversity Clinic of Nervous Diseases, Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Antoinette MaassenVanDenBrinkDivision of Vascular Medicine and Pharmacology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Paolo MartellettiDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy. paolo.martelletti@uniroma1.it.
European Headache Federation School of Advanced Studies (EHF-SAS)
Erasmus MC · NLCharité - Universitätsmedizin Berlin · DEHospital Clínico Universitario de Valladolid · ESMasaryk University · CZNicolae Testemițanu State University of Medicine and Pharmacy · MDSağlık Bilimleri Üniversitesi · TRSapienza University of Rome · ITSechenov University · RUUniversity of Brescia · ITUniversity of Florence · ITUniversity of Palermo · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeadache is a common complication of traumatic brain injury. The International Headache Society defines post-traumatic headache as a secondary headache attributed to trauma or injury to the head that develops within seven days following trauma. Acute post-traumatic headache resolves after 3 months, but persistent post-traumatic headache usually lasts much longer and accounts for 4% of all secondary headache disorders. MAIN BODY: The clinical features of post-traumatic headache after traumatic brain injury resemble various types of primary headaches and the most frequent are migraine-like or tension-type-like phenotypes. The neuroimaging studies that have compared persistent post-traumatic headache and migraine found different structural and functional brain changes, although migraine and post-traumatic headache may be clinically similar. Therapy of various clinical phenotypes of post-traumatic headache almost entirely mirrors the therapy of the corresponding primary headache and are currently based on expert opinion rather than scientific evidence. Pharmacologic therapies include both abortive and prophylactic agents with prophylaxis targeting comorbidities, especially impaired sleep and post-traumatic disorder. There are also effective options for non-pharmacologic therapy of post-traumatic headache, including cognitive-behavioral approaches, onabotulinum toxin injections, life-style considerations, etc.

conclusionNotwithstanding some phenotypic similarities, persistent post-traumatic headache after traumatic brain injury, is considered a separate phenomenon from migraine but available data is inconclusive. High-quality studies are further required to investigate the pathophysiological mechanisms of this secondary headache, in order to identify new targets for treatment and to prevent disability.

Indexed as

AnalgesicsBrainBrain Injuries, TraumaticCognitive Behavioral TherapyHeadache Disorders, SecondaryHumansMigraine DisordersNeuroimagingPost-Traumatic HeadacheAnalgesicsHeadacheMigraineTraumaTraumatic brain injuryTreatment

Identifiers

PMID32448142
PMCPMC7245945
OpenAlexW4211060488

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.