{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T20:03:56Z","timestamp":1789243436981,"version":"build-2803163510"},"reference-count":27,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2019,12,22]],"date-time":"2019-12-22T00:00:00Z","timestamp":1576972800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["#R501NS095655-04"],"award-info":[{"award-number":["#R501NS095655-04"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cephalalgia"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Often concussion\/mTBI triggers a chronic headache syndrome called persistent post-traumatic headache (P-PTH) that can last from months to years post-injury, and produce significant disruption of childhood education, social interaction and development. Although prevalent and highly disabling, P-PTH is underrepresented in headache and pain research and lacks clear definition and pathophysiology. Clinical presentation of P-PTH frequently resembles that of other headache disorders, like migraine, yet the pathophysiological mechanisms are distinct and not fully understood, making the disorder difficult to treat in the clinical setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a retrospective analysis of 1506 pediatric patients attending Boston Children\u2019s Hospital clinics, demographic trends, symptom features, and the influence of sex on clinical presentation of PTH are presented. We compare clinical characteristics of P-PTH with a published cohort of migraine patients to evaluate the clinical features that are unique to P-PTH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings show that despite equivalent representation of sex in the clinic, P-PTH is expressed more in females than males and is weighted towards somatic symptoms. Relative to migraine, PTH is less associated with a family history of headache.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The ability to identify persons with PTH can help manage risk factors and identify persons likely to develop persistent post-concussion symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0333102419896754","type":"journal-article","created":{"date-parts":[[2019,12,23]],"date-time":"2019-12-23T00:02:17Z","timestamp":1577059337000},"page":"701-711","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Clinical features and sex differences in pediatric post-traumatic headache: A retrospective chart review at a Boston area concussion clinic"],"prefix":"10.1177","volume":"40","author":[{"given":"Haley","family":"McEvoy","sequence":"first","affiliation":[{"name":"Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Borsook","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5793-7983","authenticated-orcid":false,"given":"Scott A","family":"Holmes","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,12,22]]},"reference":[{"key":"bibr1-0333102419896754","doi-asserted-by":"crossref","unstructured":"Broshek DK, Kaushik T, Freeman JR, et al. Sex differences in outcome following sports-related concussion.\n                      J Neurosurg\n                      2005; 102: 856\u2013863.","DOI":"10.3171\/jns.2005.102.5.0856"},{"key":"bibr2-0333102419896754","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-2492"},{"key":"bibr3-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-1-17"},{"key":"bibr4-0333102419896754","doi-asserted-by":"crossref","unstructured":"Gioia G. Return to school: When and how should return to school be organized after a concussion? In: Gagnon I and Ptito A (eds)\n                      Sports concussion: A complete guide to recovery and management\n                      , Boca Raton, FL: CRC Press, 2018, pp.241\u2013262.","DOI":"10.1201\/9781315119328-12"},{"key":"bibr5-0333102419896754","doi-asserted-by":"crossref","unstructured":"McKerral M, Leveille G. Return to work: When and how should I return to work after a concussion? In: Gagnon I and Ptito A (eds)\n                      Sports concussions: A complete guide to recovery and management\n                      , Boca Raton, FL: CRC Press, 2018, pp.263\u2013284.","DOI":"10.1201\/9781315119328-13"},{"key":"bibr6-0333102419896754","doi-asserted-by":"crossref","unstructured":"Echemendia R. Return to sports: When and how should I return to sports after a concussion? In: Gagnon I and Ptito A (eds)\n                      Sports concussions: A complete guide to recovery and management\n                      , Boca Raton, FL: CRC Press, 2018, pp.285\u2013298.","DOI":"10.1201\/9781315119328-14"},{"key":"bibr7-0333102419896754","doi-asserted-by":"crossref","unstructured":"Kuczynski A, Crawford S, Bodell L, et\u00a0al. Characteristics of post-traumatic headaches in children following mild traumatic brain injury and their response to treatment: A prospective cohort.\n                      Dev Med Child Neurol\n                      2013; 55: 636\u2013641.","DOI":"10.1111\/dmcn.12152"},{"key":"bibr8-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-0925"},{"key":"bibr9-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-097729"},{"key":"bibr10-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000346"},{"key":"bibr11-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-017-0796-0"},{"key":"bibr12-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1177\/0333102417722570"},{"key":"bibr13-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1177\/0333102413485658"},{"key":"bibr14-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2011.03.006"},{"key":"bibr15-0333102419896754","volume":"49","author":"Ramtekkar UP","year":"2010","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"bibr16-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-015-0325-8"},{"key":"bibr17-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1177\/1941738119877186"},{"key":"bibr18-0333102419896754","doi-asserted-by":"crossref","unstructured":"Kerr ZY, Chandran A, Nedimyer AK, et\u00a0al. Concussion incidence and trends in 20 high school sports.\n                      Pediatrics\n                      2019; 144: e20192180.","DOI":"10.1542\/peds.2019-2180"},{"key":"bibr19-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2012-091941"},{"key":"bibr20-0333102419896754","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00276"},{"key":"bibr21-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2011.1914"},{"key":"bibr22-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/aws175"},{"key":"bibr23-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2012.03.007"},{"key":"bibr24-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1417.027"},{"key":"bibr25-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0000000000000091"},{"key":"bibr26-0333102419896754","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2018.00176"},{"key":"bibr27-0333102419896754","doi-asserted-by":"publisher","DOI":"10.1038\/npp.2009.83"}],"container-title":["Cephalalgia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0333102419896754","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0333102419896754","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0333102419896754","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:48:30Z","timestamp":1777387710000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0333102419896754"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,22]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1177\/0333102419896754"],"URL":"https:\/\/doi.org\/10.1177\/0333102419896754","relation":{},"ISSN":["0333-1024","1468-2982"],"issn-type":[{"value":"0333-1024","type":"print"},{"value":"1468-2982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,22]]}}}