Post-traumatic headache
ICD-10 G44.3 is a billable code used to indicate a diagnosis of post-traumatic headache.
Post-traumatic headache (PTH) is a type of headache that occurs following a head injury or trauma. It can manifest as a tension-type headache or a migraine-like headache and may develop immediately after the injury or can be delayed for days or weeks. The International Classification of Headache Disorders (ICHD) classifies PTH as a secondary headache disorder, meaning it is a symptom resulting from an underlying condition, in this case, trauma to the head. Symptoms may include throbbing or pressing pain, sensitivity to light or sound, nausea, and dizziness. The duration and intensity of PTH can vary significantly among individuals. Triggers for PTH can include physical exertion, stress, and environmental factors. Preventive treatments may involve pharmacological options such as analgesics, anti-inflammatory medications, and preventive migraine medications, as well as non-pharmacological approaches like cognitive behavioral therapy and lifestyle modifications. Accurate diagnosis and management are crucial to mitigate the impact of PTH on a patient's quality of life.
Detailed history of the head injury, symptom description, and response to treatment.
Patients presenting with headaches following a concussion or other head trauma.
Neurologists should ensure that the headache is directly linked to the trauma and document any neurological deficits.
Immediate assessment of head injury, including Glasgow Coma Scale score and imaging results.
Patients presenting to the ER with headaches after falls or accidents.
Emergency physicians must document the mechanism of injury and any acute interventions performed.
Follow-up visit for management of post-traumatic headache.
Document history of trauma, headache characteristics, and treatment response.
Neurologists may require additional neurological assessments.
Post-traumatic headache is a secondary headache disorder that occurs after a head injury, while migraine is a primary headache disorder that can occur independently of trauma. PTH may mimic migraine symptoms but is directly linked to the trauma.
