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A successful use of cranial-sacral osteopathy in the treatment of post-traumatic headache following subarachnoid hemorrhage

Journal: The AAO Journal Date: 1997/06, 7(2):Pages: 22-24, type of study: case report

Free full text   (https://www.academyofosteopathy.org/assets/aaoj/AAOJ_Summer1997.pdf)

Keywords:

accident [28]
case report [710]
cranio-sacral osteopathy [223]
female [607]
headache [159]
injury [107]
subarachnoid hemorrhage [2]
trauma [118]
women [562]

Abstract:

Posttraumatic headaches are among the most common somatic complaints following mild head injury. In the past, 79 percent of patients who were evaluated 3 months after minor head injury complained of persistent headaches. Head injuries can result from blunt head trauma during a motor vehicle accident, the mechanism being shearing stresses on the brain set up by rotational torques. The type of damage can range from mild to severe and can include, edema, herniation, laceration, and thrombosis.2 Subarachnoid hemorrhage can be a result of these cerebral contusions, with subsequent posttraumatic headache. A subarachnoid hemorrhage can cause meningeal irritation of the dura from dilated blood vessels. Also, serotonin and plasma kinins which effect pain receptors in the meninges can lead to neck pain which is most often experienced in the extensor area, along with the 3 headache. Patients recover from posttraumatic head injury in varying degrees. There are numerous articles citing the presence of headache, along with various other neurological sequelae occurring after a blunt head injury. Retrograde amnesia is seen in some patients after a trauma, while other patients may experience a range of symptoms including seizures, vertigo, irritability, and psychiatric disturbances. The commonly exhibited posttraumatic headaches are often treated symptomatically with analgesics, although other means of therapy may be employed to aid in returning the patients to their previous level of function. This paper presents a case study of a patient with a posttraumatic headache coincident with a subarachnoid hemorrhage. The patient had obtained no relief from various analgesics and suffered for four months from unrelenting headaches. She was seen by a physiatrist who utilized an osteopathic approach in an attempt to relieve her headaches.


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