Posttraumatic Severe Chronic Headache: An Adolescent with Postconcussion Syndrome

Post-concussion syndrome (PCS), apart from occur­ring in the wake of mild traumatic brain injuries (TBIs) in general, may also occur as the result of moderate TBIs. PCS patients may exhibit symptoms of physical, psychi­atric (emotional and behavioral) and cognitive inabilities. Patients, except for the 10%, make a full recovery be­tween 3-6 months. While patients with PCS show vitally acute symptoms at the outset, the clinical recovery is dra­matically good. A fifteen-year-old female patient who had undergone a head trauma as the result of falling down from height showed a clinically dramatic recovery after an 18-day-treatment of intensive care. We aimed to draw the attention to the association be­tween the psychiatric findings that appeared to be likely to be associated with negative life events and the clinical picture of a post-traumatic severe headache resistant to treatment. This clinical picture, when dealt with the ho­listic multidisciplinary approach, may indicate PCS to us.