CAJ | 학술논문

虽然创伤后头痛(post-traumatic headache,PTHA)是创伤后常见的临床问题,但我们对其复杂的多维本质仍缺乏足够了解.临床医生和研究人员常在实际工作中试图将问题简化,即希望简化临床评估和治疗中所面临的问题、将其视作一个单纯表现；还有人认为创伤后头痛与那些非创伤性头痛的病因、治疗等均无明显区别.目前,我们对于创伤后头痛的认识仍然相当不充分,缺乏关于流行病学、治疗及预后的高质量文献.在神经康复日常工作及相关法律问题的处置上也需充分理解对疾病认识的局限性.本文的主要内容是综述将创伤后头痛作为遭受创伤后复杂的多维度问题进行认识的最新概念和理论,包括发病率、病因、评估及治疗等.
수연창상후두통(post-traumatic headache,PTHA)시창상후상견적림상문제,단아문대기복잡적다유본질잉결핍족구료해.림상의생화연구인원상재실제공작중시도장문제간화,즉희망간화림상평고화치료중소면림적문제、장기시작일개단순표현；환유인인위창상후두통여나사비창상성두통적병인、치료등균무명현구별.목전,아문대우창상후두통적인식잉연상당불충분,결핍관우류행병학、치료급예후적고질량문헌.재신경강복일상공작급상관법률문제적처치상야수충분리해대질병인식적국한성.본문적주요내용시종술장창상후두통작위조수창상후복잡적다유도문제진행인식적최신개념화이론,포괄발병솔、병인、평고급치료등.
Although post-traumatic headache (PTHA) is a common problem following trauma its' multidimensionality remains somewhat poorly understood.Often,clinicians and researchers try and make the problem of post-traumatic bead pain a straightforward one.One of the reasons that there is controversy of what would seem to be a simple condition on the surface is that clinicians tend to view PTHA over simplistically from both an assessment and treatment standpoint.Some have argued that PTHA is no different that non-traumatic headache in either etiology or treatment.There remain significant deficiencies in our understanding of PTHA as related to a lack of good epidemiological,treatment and prognostic literature.These limitations nust be acknowledged where applicable in the context of clinical neurorehabilitation care,as well as,in the forensic arena.This article will review the current understanding of PTHA as a complex,multidimensional post-traumatic phenomena examining incidence,etiology,assessment and management.