Headache subsequent to whiplash

Methodology varies greatly in whiplash studies; therefore, results are not directly comparable. Headache seems to be present in 50% to more than 75% of cases in the acute stage, and in 20% to 30% of cases in the early chronic stage. Headache naturally occurs frequently (> 75% of the cases [eg, me...

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Bibliographic Details
Published in:Current pain and headache reports 2009-02, Vol.13 (1), p.52-58
Main Authors: Sjaastad, Ottar, Fredriksen, Torbjørn A., Bakketeig, Leiv S.
Format: Article
Language:English
Subjects:
Headache - diagnosis
Headache - etiology
Headache - therapy
Headaches
Humans
Internal Medicine
Medicine
Medicine & Public Health
Pain Measurement
Pain Medicine
Time Factors
Whiplash Injuries - complications
Whiplash Injuries - diagnosis
Whiplash Injuries - therapy
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Summary:Methodology varies greatly in whiplash studies; therefore, results are not directly comparable. Headache seems to be present in 50% to more than 75% of cases in the acute stage, and in 20% to 30% of cases in the early chronic stage. Headache naturally occurs frequently (> 75% of the cases [eg, medico-legal cases]) in patients who consult headache specialists due to protracted symptoms. Malingering may explain some cases, and continuation/activation of prewhiplash headache may explain other cases. De novo headache also seems to occur. This headache may partly have cervicogenic headache characteristics: side-locked unilaterality and occipital onset. In one study, this type of headache was present in 8% at 6 weeks and 1% at 6 years. It was more rare than postwhiplash, unspecified headache. De novo postwhiplash headache may consist of cervicogenic headache and of noncervicogenic headache (probably in the acute phase).
ISSN:1531-3433
1534-3081
DOI:10.1007/s11916-009-0011-3