Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 19646
  Title Delayed-onset post-traumatic headache after a motor vehicle collision: a case report [case report]
URL http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1924661
Journal J Can Chiropr Assoc. 2007 Jun;51(2):83-90
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes INTRODUCTION: Headaches are common after a motor vehicle accident (MVA). Post-traumatic headaches share many clinical symptoms including the clinical course of primary headaches. Secondary headaches (including those resulting from a subdural hematoma) are not as common, but should be considered in cases of post-traumatic events particularly if clinical symptoms progress.

CLINICAL FEATURES: A case of a patient with a post-traumatic subdural hematoma demonstrates the importance of carefully examining, properly diagnosing and managing patients that experience headaches after MVAs. This patient presented with uncomplicated low back pain, neck pain and headache which progressed at one month to include focal neurological deficits. Since clinical examination alone may not be sufficient to diagnose secondary headaches, immediate referral to the emergency department may be required.

CONCLUSION: Primary contact practitioners should be aware of the various causes of headaches that result after a MVA. Headaches, which do not respond or progress, should be followed aggressively to determine their source.

Full text is available free online for this case report; click on the above link. This abstract is reproduced with the permission of the publisher.


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