Idiopathic Stabbing Headache and Experimental Ice Cream Headache (Short-Lived Headaches)

2004 ◽  
Vol 51 (1) ◽  
pp. 6-9 ◽  
Author(s):  
H. Macit Selekler ◽  
Faik Budak
2000 ◽  
Vol 57 (5) ◽  
pp. 745 ◽  
Author(s):  
Zakaria Ammache ◽  
Mark Graber ◽  
Patricia Davis

Cephalalgia ◽  
2006 ◽  
Vol 26 (10) ◽  
pp. 1220-1224 ◽  
Author(s):  
JP Vieira ◽  
AB Salgueiro ◽  
M Alfaro

Short-lasting headaches have been studied infrequently in children and it is not known if the main categories of primary headaches of this type in adults are applicable to children. We report our experience with a group of 20 children with a brief headache. Two patients had a secondary headache. One patient had a headache with some clinical characteristics of paroxysmal hemicrania. The remaining 17 had a very brief headache. They were in many aspects comparable to others from previous studies on idiopathic stabbing headache in children: no associated symptoms, no other associated headache, frequent family history of migraine. They differed, however, in the younger age of the patients and the more frequent extratrigeminal location of the pain. Extratrigeminal ice-pick pain may be a variant of idiopathic stabbing headache, more prevalent in young children.


Author(s):  
Rashmi B. Halker ◽  
Esma Dilli ◽  
Amaal Starling

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.


Cephalalgia ◽  
2004 ◽  
Vol 24 (11) ◽  
pp. 993-996 ◽  
Author(s):  
MC França ◽  
ALC Costa ◽  
JA Maciel

Idiopathic stabbing headache (ISH) is defined as the occurrence of short-lasting, painful jabs, restricted to the ophthalmic division of the trigeminal nerve. It is closely related to other forms of headache (such as migraine and tension-type headache) and has been reported among all age groups, including children and adolescents. As pathogenic mechanisms of the disease remain unclear, management decisions are empirical and limited to few options. Classically, indomethacin has been considered the first option, but therapeutic failure occurs in up to 35% of cases. In this setting, we report four patients with young-onset indomethacin-resistant ISH which had good responses to gabapentin and discuss the use of this drug in the presenting situation.


1996 ◽  
Vol 36 (9) ◽  
pp. 565-567 ◽  
Author(s):  
S. Soriani ◽  
P.A. Battistella ◽  
C. Arnaldi ◽  
L. Carlo ◽  
R. Cernetti ◽  
...  

Cephalalgia ◽  
1996 ◽  
Vol 16 (2) ◽  
pp. 93-96 ◽  
Author(s):  
JA Pareja ◽  
J Ruiz ◽  
C de Isla ◽  
H Al-Sabbah ◽  
J Espejo

The clinical features of idiopathic stabbing headache (“jabs and jolts syndrome”) were studied in 38 patients who were diagnosed throughout a 1-year period. Mean age at the onset of symptoms was 47.1 years ± 14.5 (SD), and a clear female preponderance was demonstrated (female/male ratio=6.6), Painful attacks were ultrashort, i.e. virtually all attacks in more than two thirds of cases lasted only one second. The frequency of attacks varied immensely, ranging from 1 attach per year to 50 attacks daily. The pain paroxysms usually occurred with an irregular or sporadic temporal pattern. The localization of painful attacks was reported frequently as unifocal, usually in the orbital area, but also multifocal patterns were observed, the attacks frequently changing location from one area to the next. The majority of attacks occurred spontaneously, and accompanying phenomena were reported only rarely. Indomethacin treatment (75 mg daily) seemed to have a complete or partial effect in most patients treated as such ( n = 17).


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