The purpose of this study was to describe the pain experience in Operation Iraqi Freedom/Operation Enduring Freedom veterans with and without a history of mild traumatic brain injury (mTBI) who present to polytrauma clinics for evaluation and management. We sought to evaluate the relationship between a veteran's history of mTBI and posttraumatic stress (PTS) on axial pain, head/headache pain, a...

The diagnoses of the 193 patients aged 65 and over who attended the service of neurology in the past 15 years with de novo headache as their initial and main symptom were specifically analysed. Headaches beginning in elderly people represented only 5.4% of headaches in all ages, whereas 12.1% of the population in this health area was 65 or over. Head pain appeared more often in women (63%), alt...

OBJECTIVE To assess if organizational factors are predictors of workers' health and productivity after the World Trade Center attacks. METHODS We conducted a survey of 750 workers and compared those who had direct exposures to the World Trade Center attacks (south of Canal Street workers; primary victims) with those less directly exposed (north of Canal Street workers; other victims and non-v...

We present four cases of headache with variable intensity, located in close proximity to a craniotomy incision which was performed for non-traumatic reasons. Since manual palpation of the scar often triggers pain, and infiltration with local anesthetics reduce or abolish the pain in some patients, we suggest that neuromas or nerve entrapment in the scars, as a result of the surgery, are respons...

There has been intense controversy about postconcussion syndrome since Erichsen's publication in 1866 on railway brain and railway spine. The fascinating history of this debate will be reviewed and then the non-organic explanations for postconcussion syndrome, headaches after head injury, and chronic whiplash injuries and headaches will be explored including the following: psychogenic, psychoso...

background: research into the role of neuroimaging in primary headaches such as tension type headache (tth) is ongoing. in the present study, we aim to evaluate the ability of neuroimaging to detect potential abnormalities in patients with new onset tth and normal neurological exam. materials and methods: in a prospective study, 294 cases of new onset tth with normal neurological exam, that had...

BACKGROUND An important medical concern of the Iraq war is the potential long-term effect of mild traumatic brain injury, or concussion, particularly from blast explosions. However, the epidemiology of combat-related mild traumatic brain injury is poorly understood. METHODS We surveyed 2525 U.S. Army infantry soldiers 3 to 4 months after their return from a year-long deployment to Iraq. Valid...

Some of the main symptoms of mild traumatic brain injury in the long term are headaches and sleep disturbances. The purpose of our study was to investigate the influence of the combination medical and physical treatment using darsonvalization and magnetic therapy on headaches and sleep disturbances in patients with postconcussion syndrome. Methods: We observed 67 patients with the consequences ...