Étude des maux tête post-traumatiques post-commotion chez l'enfant

Post-traumatic headaches in children after concussion: Study reveals effects

Sep 28, 2023

Understanding the consequences of migraines on the quality of life of young post-concussion patients.

After a pediatric concussion, headache is the most commonly reported symptom.

The study on post-traumatic migraines in children

Goal of the study :
The primary objective of this research was to evaluate whether the type of post-traumatic headache (migraine or non-migraine) influenced symptom severity and quality of life three months after a concussion.

Methodology :
This study is based on a secondary analysis of the prospective survey “Advancing Concussion Assessment in Pediatrics” (A-CAP) which was carried out between September 2016 and July 2019 in five pediatric emergency departments of the Pediatric Emergency Research Canada (PERC) network. . It included children aged 8 to almost 17 years old who had suffered a recent concussion (less than 48 hours) or an orthopedic injury.

Trauma increases migraine-related symptoms and impacts children's quality of life

Key results:
Of the 967 children enrolled, 928 were included in the analysis. The results show that children suffering from post-traumatic migraines had more pronounced symptoms and lower quality of life three months after the concussion than those suffering from non-migraine headaches. Furthermore, children without post-traumatic headache had the lowest level of symptoms and the best quality of life, a finding comparable to children with an orthopedic injury.

Read our article on migraine in children

This study reveals the importance of considering the type of post-traumatic headache in assessing symptom severity and quality of life after concussion in children. Those who suffer from migraines seem to be particularly affected. The need for further research to define effective treatment strategies taking into account the type of headache is highlighted.

The consequences on the cognitive and emotional development of children

It's a crucial question: What exactly is the impact of post-traumatic headaches after a concussion on children's cognitive and emotional development? It seems, according to the latest research, that this impact can be significant.

The cognitive consequences

In the cognitive domain, several effects have been identified in children who suffered a concussion. These effects may include:

  • Reduced learning and memory skills – Which could contribute to academic difficulties.
  • Difficulty concentrating – Children may have difficulty staying focused on a task or lesson.
  • Slowed processing of information – It may be more difficult for the child to understand new information or answer questions quickly.

The emotional consequences

This is perhaps where the impact is most insidious. Concussions can have a significant impact on a child's emotional health. These consequences may include:

  • Mood changes – Children may feel more irritable, more anxious, or even depressed.
  • Sleep problems – Children may have difficulty falling or staying asleep, which can make mood problems worse.
  • Difficulties in social relationships – Irritability and anxiety can make social interactions more difficult, which can further isolate the child.

These effects can be temporary, but they can also last, especially if the child does not receive the appropriate support after their concussion. It is essential for parents and clinicians to understand these potential consequences and actively monitor for signs of emotional or cognitive problems after a concussion.

Let us also not forget the importance of preventing, as far as possible, accidents that can lead to concussion. Prevention is always better than cure.

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