scholarly journals Characteristics of Primary Stabbing Headache in a Tertiary Neurological Clinic in China

Pain Medicine ◽  
2014 ◽  
Vol 15 (5) ◽  
pp. 871-875 ◽  
Author(s):  
Xiping Liang ◽  
Guomin Ying ◽  
Qingqing Huang ◽  
Jing Wang ◽  
Nan Li ◽  
...  
Keyword(s):  
Primary Stabbing Headache ◽  
Stabbing Headache

Paroxysmal Stabbing Headache in The Multiple Dermatomes of The Head and Neck: A Variant of Primary Stabbing Headache or Occipital Neuralgia?

Cephalalgia ◽  
2007 ◽  
Vol 27 (10) ◽  
pp. 1101-1108 ◽  
Author(s):  
JH Shin ◽  
HK Song ◽  
JH Lee ◽  
WK Kim ◽  
MK Chu
Keyword(s):  
Medical Center ◽  
Previous History ◽  
Headache Disorder ◽  
Acute Onset ◽  
Occipital Neuralgia ◽  
Cervical Nerve ◽  
Primary Stabbing Headache ◽  
History Of ◽  
Stabbing Headache

A paroxysmal stabbing or icepick-like headache in the multiple nerve dermatomes, especially involving both trigeminal and cervical nerves, has not been fully explained or classified by the International Classification of Headache Disorder, 2nd Edition (ICHD-II). Of patients with acute-onset paroxysmal stabbing headache who had visited the Hallym University Medical Center during the last four years, 28 subjects with a repeated stabbing headache involving multiple dermatomes at the initial presentation or during the course were prospectively enrolled. All patients were neurologically and otologically symptom free. A coincidental involvement of both trigeminal and cervical nerve dermatomes included seven cases. Six cases involved initially the trigeminal and then cervical nerve dermatomes. Five cases showed an involvement of the cervical and then trigeminal nerve dermatomes. The remaining patients involved multiple cervical nerve branches (the lesser occipital, greater occipital and greater auricular). Pain lasted very shortly and a previous history of headache with the same nature was reported in 13 cases. Preceding symptom of an infection and physical and/or mental stress were manifested in seven and six subjects, respectively. All patients showed a self-limited benign course and completely recovered within a few hours to 30 days. Interestingly, a seasonal gradient in occurrence of a stabbing headache was found in this study. A paroxysmal stabbing headache manifested on multiple dermatomes can be explained by the characteristics of pain referral, and may be considered to be a variant of primary stabbing headache or occipital neuralgia.

Primary Stabbing Headache in Adults and Pediatrics: a Review

2014 ◽  
Vol 18 (10) ◽  
Author(s):  
Suzanne Hagler ◽  
Karen Ballaban-Gil ◽  
Matthew S. Robbins
Keyword(s):  
Primary Stabbing Headache ◽  
Stabbing Headache

Primary stabbing headache

2020 ◽  
pp. 215-219
Author(s):  
Rashmi B. Halker ◽  
Esma Dilli ◽  
Amaal Starling
Keyword(s):  
Treatment Options ◽  
Headache Disorder ◽  
Primary Stabbing Headache ◽  
Drug Of Choice ◽  
Prophylactic Drug ◽  
Stabbing Headache ◽  
Idiopathic Stabbing Headache ◽  
The Brain ◽  
Cyclooxygenase 2 Inhibitors ◽  
Secondary Causes

Primary stabbing headache is a unique headache disorder, also known as idiopathic stabbing headache, ice pick headache, and jabs and jolts syndrome. The headache is described as a sharp, stabbing pain, lasting seconds to minutes, with no associated symptoms, including any autonomic features. It is more common in women by a 3:1 ratio and is comorbid with migraine, with some studies reporting that up to 40% of migraineurs also have primary stabbing headache. Performing magnetic resonance imaging of the brain is reasonable in patients who present with stabbing headache, as there are secondary causes. Meningiomas, hemorrhages, and giant cell arteritis have all been reported to present in this manner. As primary stabbing headache is a benign disorder, infrequent attacks do not require treatment and patients can be counselled accordingly. For more frequent attacks, indomethacin is the prophylactic drug of choice. Other treatment options include melatonin and cyclooxygenase-2 inhibitors.

Primary stabbing headache can be responsive to etoricoxib, a selective COX-2 inhibitor

2007 ◽  
Vol 15 (1) ◽  
pp. e1-e1 ◽  
Author(s):  
M. B. O'Connor ◽  
E. Murphy ◽  
M. J. Phelan ◽  
M. J. Regan
Keyword(s):  
Primary Stabbing Headache ◽  
Cox 2 ◽  
Stabbing Headache
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