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Management of Chronic headaches in Pediatric post-concussion syndrome

Management of Chronic headaches in Pediatric post-concussion syndrome. Susan Beaird, DNP, CPNP Lauren King, MSN, CPNP. Concussion Pathophysiology. So Why Rest?. “Metabolic Mismatch”. No pain, no gain…unless it’s your brain. Concussion vs. Postconcussion Syndrome.

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Management of Chronic headaches in Pediatric post-concussion syndrome

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  1. Management of Chronic headaches in Pediatric post-concussion syndrome Susan Beaird, DNP, CPNPLauren King, MSN, CPNP

  2. Concussion Pathophysiology

  3. So Why Rest? • “Metabolic Mismatch” No pain, no gain…unless it’s your brain

  4. Concussion vs. Postconcussion Syndrome • Concussion: symptoms ≤ 2 weeks • Postconcussion syndrome: symptoms ≥ 4 weeks

  5. Risk for Postconcussion Syndrome • Overexertion during recovery phase • Previous head injury • Comorbid conditions • Primary headache disorder • Mood disorder • ADD/ADHD • ??

  6. Management of Postconcussion Syndrome • Time and Rest • Symptom management • Headaches  neurology • School and learning issues  neuropsychology • Dizziness and balance issues  vestibular rehabilitation

  7. Headache Management in Postconcussion Syndrome • Education and Expectations • Lifestyle • Nutraceuticals • Medications • Acute • Prophylactic

  8. Conclusion What we’ve learned What we hope to learn • Common personality traits • Family history of “brain things” • You’ll need a box of tissues • Predictive qualities • Risk • Recovery • Structured return to activities for postconcussion patients

  9. Our Team Pediatric Neurology Pediatric Rehabilitation • Lauren E. King, MSN, CPNP • Susan E. Beaird, DNP, CPNP • R. Steven Couch, MD • Assistant professor of pediatrics • Division of Developmental Medicine • Associate medical director of pediatric rehab at Vanderbilt Stallworth Rehabilitation Hospital

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