Evidence map›Paper›PMID 33910382›Full record

ArticleCephalalgia : an international journal of headache2021

Photophobia and allodynia in persistent post-traumatic headache are associated with higher disease burden.

Melissa M Cortez, Leah Millsap, Natalie A Rea, Christopher Sciarretta, K C Brennan

Open access · greenAbstract read
In one paragraph

Article in Cephalalgia : an international journal of headache, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 19 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Melissa M CortezUniversity of Utah, Department of Neurology, Salt Lake City, UT, USA.
Leah MillsapUniversity of Utah, Department of Neurology, Salt Lake City, UT, USA.
Natalie A ReaUniversity of Utah, School of Medicine, Salt Lake City, UT, USA.
Christopher SciarrettaUniversity of Utah, School of Medicine, Salt Lake City, UT, USA.
K C BrennanUniversity of Utah, Department of Neurology, Salt Lake City, UT, USA.ORCID 0000-0003-4193-5841
University of Utah · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Astrocytic mechanisms in a new genetic model of migraineR01NS104742 · NINDS · UNIVERSITY OF UTAH · PI BRENNAN, KEVIN CHRISTOPHER · 2018 to 2022
$2.5M
Cortical Spreading Depression in the Origins of the Migraine AttackR01NS102978 · NINDS · UNIVERSITY OF UTAH · PI BRENNAN, KEVIN CHRISTOPHER · 2017 to 2021
$1.7M
Photophobia and Pupillary Autonomic Dysfunction as Biomarkers of Post-Traumatic HeadacheK23NS105920 · NINDS · UNIVERSITY OF UTAH · PI CORTEZ, MELISSA · 2020 to 2024
$996k
NCATS NIH HHS UL1 TR002538NIMHD NIH HHS L32 MD009927NINDS NIH HHS K23 NS105920NINDS NIH HHS R01 NS102978NINDS NIH HHS R01 NS104742
6 · The paper itself

Abstract

objectiveTo assess photophobia and allodynia in subjects with post-traumatic headache and examine how these sensory hypersensitivities associate with clinical measures of disease burden.

backgroundPost-traumatic headache is the most frequent and disabling long-term consequence of mild traumatic brain injury. There is evidence of sensory dysfunction in acute post-traumatic headache, and it is known from other headache conditions that sensory amplifications correlate with more severe disease. However, systematic studies in post-traumatic headache are surprisingly scarce.

methodsWe tested light and tactile sensitivity, along with measures of disease burden, in 30 persistent post-traumatic headache subjects and 35 controls.

resultsIn all, 79% of post-traumatic headache subjects exhibited sensory hypersensitivity based on psychophysical assessment. Of those exhibiting hypersensitivity, 54% exhibited both light and tactile sensitivity. Finally, sensory thresholds were correlated across modalities, as well as with headache attack frequency.

conclusionsIn this study, post-traumatic headache subjects with both light and tactile sensitivity had significantly higher headache frequencies and lower sensitivity thresholds to both modalities, compared to those with single or no sensory hypersensitivity. This pattern suggests that hypersensitivity across multiple modalities may be functionally synergistic, reflect a higher disease burden, and may serve as candidate markers of disease.

Indexed as

Cost of IllnessAdultBrain Injuries, TraumaticCentral Nervous System SensitizationFemaleHeadacheHumansHyperalgesiaMalePhotophobiaPost-Traumatic HeadacheSeverity of Illness IndexTension-Type HeadacheallodyniaCentral sensitizationphotophobiapost-traumatic headachetraumatic brain injury

Identifiers

PMID33910382
PMCPMC8410663
OpenAlexW3157835051

What OpenQuestion holds

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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.