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Post-Traumatic Headache in Mild Head Injured
Posted August 2003
Presented at: 45th Annual Scientific Meeting
American Headache Society
June 19-22, 2003; Chicago, Illinois
Objectives: This study examined the relationship between non-improving
/worsening post-traumatic headache in mild head injured litigants and
neuropsychological and personality functioning.
Conclusions: Patients reporting non-improving or worsening post-
traumatic headache symptoms in the context of litigation perform disproportionately
worse on cognitive tests and have greater psychopathology on the Minnesota
Multiphasic Personality Inventory-2 than patients reporting improving symptoms.
The improbable level of cognitive impairment of the mild head injured subgroup
reporting non-improving and/or worsening post-traumatic headache suggests possible
malingering. The ideal control group would be a comparable chronically symptomatic
group of mild head injury patients with persistent headache who sustained a
non-compensable injury (for example, injury arising from a fall in the home where
potential for litigation is improbable). During the course of the data collection,
no such patient had been referred for testing.