Evidence map›Paper›PMID 40252247›Full record

ArticlePediatric neurology2025

Patterns of Use and Benefit of Triptans in the Treatment of Acute Headache Worsening in Youth With Post-Traumatic Headache.

Ryan Shah, Soumyaa Das, Caroline F Gentile Kruse, Blanca Marquez de Prado, Nichelle Raj, Morgan Evans, Pratishtha Panigrahi, Andrew D Hershey, Christina L Master, Christina L Szperka and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Pediatric neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04799015 (A Randomized Study of Dexamethasone as Adjuvant Therapy for Acute Post-traumatic Headache), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT04799015 phase4completednot on this map

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

TypeinterventionalSponsorMontefiore Medical CenterRan2021 to 2024Enrolled162ConditionsPost-Traumatic HeadacheArmsDexamethasone, Metoclopramide 10mg
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

11 authors.

Ryan ShahSidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania.
Soumyaa DasCase Western Reserve University, Cleveland, Ohio.
Caroline F Gentile KrusePerelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Blanca Marquez de PradoChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Nichelle RajChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Morgan EvansChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Pratishtha PanigrahiChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Andrew D HersheyCincinnati Children's Hospital Medical Center, Cincinnati, Ohio; University of Cincinnati College of Medicine, Cincinnati, Ohio.
Christina L MasterPerelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Christina L SzperkaPerelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Carlyn Patterson GentilePerelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. Electronic address: pattersonc@chop.edu.

Funding

Trigeminovascular sensitization in post-traumatic headache: electrophysiologic and blood biomarkers in youthK23NS124986 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI Carlyn Anne Patterson Gentile · 2022 to 2026
$1.0M
Occipital Nerve Blocks for Acute Treatment of Pediatric MigraineK23NS102521 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI SZPERKA, CHRISTINA LYNCH · 2018 to 2022
$940k
NINDS NIH HHS K23 NS102521NINDS NIH HHS K23 NS124986
6 · The paper itself

Abstract

backgroundTriptans are used to treat migraine attacks, but little to no evidence supports their use for youth with post-traumatic headache (PTH). This study evaluated patterns of use and benefit of triptans in the treatment of acute headache worsening in youth with PTH.

methodsA single-center retrospective cohort study was conducted by reviewing charts for 332 patients aged eight to 17 years seen in a child neurology clinic for PTH within one year of concussion. Treatment responses and side effects were recorded. Demographic and headache characteristics associated with triptan use and treatment response were examined.

resultsEighty of 332 patients (24.1%) used a triptan. Of those, 34 (42.5%) had acute (less than three months) PTH and 46 (57.5%) had persistent (greater than or equal to three months) PTH. Median time from injury to triptan prescription was 123 days (interquartile range, 50, 242). Older patients, those with headache phenotype consistent with migraine, those who previously used a greater number of treatments for acute headache worsening, and those seen by the headache program were more likely to use triptans (χ

conclusionsThese findings show triptans are more likely to be used for youth with PTH with phenotype consistent with migraine that are unrelieved by other treatments for acute headache worsening. Triptans may be an effective treatment for acute headache worsening in youth with PTH, although randomized controlled trials are needed.

Indexed as

Post-Traumatic HeadacheTryptaminesAdolescentChildCohort StudiesFemaleHumansMaleRetrospective StudiesTryptaminesConcussionPediatricsPost-traumatic headacheTriptans

Identifiers

PMID40252247
PMCPMC12068957

What OpenQuestion holds

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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.