Concussion & Continuous Post-Traumatic Headache

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Key Questions
  • What is post-traumatic headache?
  • What are some common symptoms of post-traumatic headache?
  • What sorts of injuries and conditions can result in post-traumatic headache?
  • What happens anatomically during a concussion?
  • Why are so many post-traumatic headaches refractory in nature?
  • Is the presence of aura more common in post-traumatic headache?
  • How is post-traumatic headache treated?
  • What is the outlook for someone with continuous post-traumatic headache?
Interview Notes
Treatments Mentioned
  • Amitriptyline (Elavil)
  • Baclofen (Lioresal)
  • Beta blockers
  • CGRP monoclonal antibodies (mAbs)
  • CGRP receptor antagonists (gepants)
  • Dihydroergotamine (DHE) nasal spray
  • Indomethacin
  • OnabotulinumtoxinA (Botox)
  • SSRIs
  • Topiramate (Topamax)
  • Triptans

Please note: The Migraine World Summit’s aim is to bring you a variety of perspectives and expertise, independent of bias or judgment. Alternative theories presented in this video have not been medically reviewed. Views expressed in this interview do not necessarily represent the views of the Migraine World Summit. Please always consult your health care professional and do your own research before making changes to your treatment plan.

Alan Finkel, MD

Neurologist
Carolina Headache Institute

Dr. Alan Finkel received his medical degree from the State University of New York at Buffalo and completed his residency in neurology and his pain/headache fellowship at the University of North Carolina at Chapel Hill. He is board certified in neurology, pain medicine, and headache medicine.

Dr. Finkel founded the nonprofit Carolina Headache Foundation. He was a Department of Defense contractor at the Intrepid Spirit Center’s Traumatic Brain Program of the Defense and Veterans Brain Injury Center at Fort Bragg, where he treated and studied military post-traumatic headache. His interests include medical education, traumatic brain injury/concussion, and healthcare policy and practice.

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