MM203 - Post-Secondary Headache with Vestibular Migraine Features Following Head Trauma

Thursday, April 18, 2024

9:15 AM – 9:45 AM EST

Location: A410

Earn 0.05 CEUs

Instructional Level: Intermediate

Lead Presenter(s)

Allison Coltisor, AuD

Clinical Audiologist
University of North Carolina, Greensboro & National Hearing and Balance
University of North Carolina
Santa Fe, New Mexico

Disclosure(s): No financial or nonfinancial relationships to disclose.

PDF Slides

Contributor(s)

RR

Richard A. Roberts, PhD

Associate Professor & Vice-Chair of Clinical Operations
Vanderbilt University Medical Center
Vanderbilt University School of Medicine
Nashville, Tennessee

Disclosure(s): No financial or nonfinancial relationships to disclose.
KW

Kenneth Watford

Disclosure(s): No financial or nonfinancial relationships to disclose.
NR

Nabih Ramadan

Disclosure(s): No financial or nonfinancial relationships to disclose.
MB

Marc Bennett

Professor
VUMC
VUMC, Tennessee

Disclosure(s): No financial or nonfinancial relationships to disclose.

Abstract:

Purpose:
To describe outcomes from a case series in support of an individualized treatment approach in patients with secondary headaches with vestibular migraine features following head trauma.

Data Collection and Analysis:
Retrospective, one-year chart review of patients who developed vertigo and migraine-type headache after a traumatic brain injury.

Results: :
Eight patients were identified and had symptoms of migraine and vertigo that persisted for >3.5 months after the head injury.

Conclusion: :
Acute phase evaluation coupled with individualized multidisciplinary treatment initiated within the first-month post-TBI took less time to return to their pre-TBI activity levels.

Summary:
Audiologists frequently encounter patients with a history of traumatic brain injury with audio-vestibular complaints. This population presents its unique challenges as no two patients are the same and there is no uniform guideline for comprehensive evaluation and treatment of patients with traumatic brain injury. All audiologists must be able to properly gather information regarding traumatic brain injury patient's symptoms, evaluate and treat what is within our scope of practice, and be confident in referring patients onward for specialty evaluation, treatment, and rehabilitative care promptly. As post-TBI conditions are known to be time-sensitive, the sooner these patients receive the correct referrals and therapy the more likely it becomes that these patient's symptoms will improve (as the cases covered in this study did), and the patient's long-term outcomes are more likely to improve.

Learning Objectives:

Upon completion, participants will be able to identify a variety of appropriate rehabilitative and medical specialists they may refer patients to post-TBI.
Upon completion, participants will be able to take an informative case history to check for symptoms of post-traumatic headache with vestibular migraine features.
Upon completion, participants will have an improved understanding of appropriate management of patients with post-traumatic headache with vestibular migraine features.