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Idiopathic stabbing headache associated with monocular visual loss
1Department of Neurology, University of Iowa, Iowa City 52242, USA. zammache@blue.weeg.uiowa.edu
Archives of Neurology
|May 18, 2000
Summary
Idiopathic stabbing headache, a brief, sharp head pain, was effectively treated with indomethacin and oxygen. This case highlights a successful therapeutic approach for this condition, even when accompanied by temporary vision loss.
Area of Science:
- Neurology
- Headache Medicine
Background:
- Idiopathic stabbing headache (ISH) is characterized by brief, severe, sharp head pain.
- ISH can be a primary headache disorder or associated with other headache types like migraine.
Observation:
- A 27-year-old male presented with acute right temporal stabbing pain and transient monocular vision loss.
- The patient had a documented history of migraine with aura.
Findings:
- Treatment with indomethacin and oxygen inhalation resulted in complete symptom resolution.
- This suggests a potential therapeutic role for indomethacin and oxygen in ISH with visual disturbances.
Implications:
- This case underscores the efficacy of indomethacin for idiopathic stabbing headache.
- The findings suggest that associated neurological symptoms like monocular vision loss may also respond to this treatment regimen.