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* Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
Department of Psychiatry, University of British Columbia, Vancouver
|| Department of Neurosurgery, McGill University, Montreal, Canada
Address correspondence and reprint requests to Michael W. Collins, PhD, University of Pittsburgh Medical Center Sports Concussion Program, Department of Orthopaedic Surgery, Center for Sports Medicine, 3200 South Water Street, Pittsburgh, PA, 15203
Background: The relevance of headache to outcome after sports-related concussion is poorly understood.
Hypotheses: High school athletes reporting headache approximately 1 week after injury will have significantly more other concussion symptoms and will perform more poorly on neuropsychological tests than athletes not experiencing headache.
Study Design: Prospective cohort study.
Methods: Study participants included 109 high school athletes who had sustained concussion and who were divided into two groups: those reporting headache 7 days after injury and those reporting no headaches. The two groups were compared regarding on-field markers of concussion severity at the time of injury and symptoms and neurocognitive test results collected via ImPACT, a computerized neuropsychological test battery and postconcussion symptom scale, at a mean of 6.8 days after injury.
Results: Athletes reporting posttraumatic headache demonstrated significantly worse performance on reaction time and memory ImPACT neurocognitive composite scores. These athletes also reported significantly more symptoms other than headache and were more likely to have demonstrated on-field anterograde amnesia.
Conclusions: Findings suggest that any degree of postconcussion headache in high school athletes 7 days after injury is likely associated with an incomplete recovery after concussion.
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