HUBUNGAN DERAJAT KEPARAHAN CEDERA KEPALA DENGAN TIPE NYERI KEPALA PASCA CEDERA

• Main Authors: , Maulida, , dr. Subagya, Sp.S
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2013
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/118809/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=58785
• Institution: Universitas Gadjah Mada

Post traumatic headache is the most commonly reported complaints after injury, with a prevalence ranging from 30-90%. Pain management after head injury is quite difficult, because it has no specific clinical picture. There are differences in the results of research on the type of headache that is often accured post-injury. Research that links the severity of head injuries by type of headache post injury are limited. The aim of this study is to determine the relationship of the degree of severity head injury with the type of post traumatic headache. The method is a cross-sectional study. The subject study was performed 70 patients in the neurology ward and the intermediate care unit RSUP Dr. Sardjito Yogyakarta and RSUP Dr. Soeradji Tirtonegoro Klaten sequentially after inclusion and exclusion criteria. Subjects were divided into two groups: mild head injury and moderate to severe head injury. Criteria for assessment of the degree of severity with the International Classification of Headache Disorder, 2nd edition (ICHD-II) and type headache with ICHD-II and The Cervicogenic Headache International Study Group (CHISG). Most of the post traumatic headaches have characteristics of moderate intensity (65.7%), unilateral location (61.4%), and on physical examination we found no sign of extracranial lesions (37.1%). The most common type of post traumatic headache was migraine type (62.8%), followed by tension-type (18.6%) and cervicogenic type (18.6%). But in bivariate analysis we did not capture a significant association with the severity of head injury (PR = 2.541, 95% CI = 0.938 to 6882, p = 0.064). On multivariate analysis we found no significant correlation between the severity of head injuries with migraine type of post traumatic headache (PR = 0.287, 95% CI = 0.021 to 3.926, p = 0.349). The conclusion of this study is the most common type of post traumatic headache was migraine, but no significant association with the degree of severity of head injury.