• Curr Pain Headache Rep · Nov 2023

    Review

    Does Physiologic Post-Concussion Disorder Cause Persistent Post-Traumatic Headache?

    • Jacob I McPherson, Muhammad S Z Nazir, Barry S Willer, John J Leddy, and Mohammad N Haider.
    • Department of Rehabilitation Science, School of Public Health and Health Professions, State University of New York at Buffalo, 534 Kimball Tower, Buffalo, NY, 14214, USA. jim6@buffalo.edu.
    • Curr Pain Headache Rep. 2023 Nov 1; 27 (11): 793799793-799.

    Purpose Of ReviewOne system classifies patients with symptoms after concussion into physiologic, vestibulo-ocular, cervicogenic, and mood/cognition post-concussion disorders (PCD) based upon the preponderance of specific symptoms and physical impairments. This review discusses physiologic PCD and its potential relationship to the development of persistent post-traumatic headaches (PPTH).Recent FindingsHeadache is the most reported symptom after a concussion. Headaches in physiologic PCD are suspected to be due to abnormal cellular metabolism, subclinical neuroinflammation, and dysfunction of the autonomic nervous system (ANS). These abnormalities have been linked to the development of migraine-like and neuralgia-related PPTH. Physiologic PCD is a potential cause of PPTH after a concussion. Future research should focus on how to prevent PPTH in patients with physiologic PCD.© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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