Recovering From Trauma and Concussion

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Key Questions
  • How can migraines result from concussions?
  • Is it possible for a patient to have no personal or family history of migraine, get a concussion, and then develop migraine?
  • Can imaging help with identifying concussion?
  • Does having migraine put us at a greater risk for concussion?
  •  What is your advice for someone who has just gotten a concussion?
  • What sort of strategies should one adopt to try to promote brain healing after a concussion?
  • What is a post-traumatic headache (PTH)?
  • What are the differences between persistent PTH and migraine?
  • How does a diagnosis of migraine versus PTH change the treatment strategy?
  • How can a patient determine whether their condition is persistent PTH or true migraine triggered by physical trauma?
  • Is it possible for a patient to have no history of migraine, and still have a concussion trigger migraine, or would that always be PTH?
  • In the last 5-10 years, our understanding of TBIs and potential treatments has grown significantly. We obviously still have a long way to go, but what would you say are a few of the most important findings?
Interview Notes
Morris Levin, MD

Morris Levin, MD

Neurologist & Director
UC San Francisco Headache Center

Dr. Levin is professor of neurology at the University of California, San Francisco, where he directs the UCSF Headache Center. Dr. Levin earned his undergraduate degree in biological sciences at Stanford University, and his M.D. degree at the Chicago Medical School. He is board certified in neurology, with special qualification in pain medicine (ABPN).  Dr Levin is also board certified in headache medicine (UCNS). Dr. Levin has authored a number of medical journal articles and textbook chapters in the areas of headache and pain, including “Understanding Your Migraines” (Oxford University Press 2017), written primarily for patients and families. He is an active member of the American Headache Society, where he is on the board of directors, and the International Headache Society, where he is chair of the ethics committee. He is also a member of the Headache Cooperative of the Pacific (HCOP) board of directors. He is a fellow of the AAN, AHS, and ANA.

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