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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Published on: June 2, 2014

Primary stabbing headache.

Juan A Pareja1, Ottar Sjaastad

  • 1Department of Neurology, Hospital Quirón Madrid, Madrid, Spain. jpg03m@saludalia.com

Handbook of Clinical Neurology
|September 7, 2010
PubMed
Summary
This summary is machine-generated.

Primary stabbing headache causes brief, intense head pain. While often mild, it can be severe and typically affects one side of the head, with treatments rarely needed.

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Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Primary stabbing headache is a common condition characterized by brief, severe head pain.
  • It affects 35.2% of the population, with a higher prevalence in females, and typically begins around age 28.

Purpose of the Study:

  • To describe the clinical characteristics, epidemiology, and treatment of primary stabbing headache.
  • To provide an overview of current understanding and management strategies for this headache type.

Main Methods:

  • Review of epidemiological data (Vågå study) for prevalence and onset.
  • Analysis of clinical features including pain quality, duration, frequency, location, and associated symptoms.
  • Summary of reported treatment efficacies.

Main Results:

  • Attacks are unilateral, stabbing, lasting 1-3 seconds, occurring sporadically with low frequency.
  • Pain is often moderate to severe, affecting temporal and fronto-ocular areas, and can be triggered by head movement.
  • While generally not associated with other headaches in children, it can co-occur in adults. Treatment is rarely necessary.

Conclusions:

  • Primary stabbing headache is a distinct primary headache disorder with specific clinical features.
  • Indomethacin shows some efficacy, with other agents like celecoxib, nifedipine, melatonin, and gabapentin effective in limited reports.
  • Further research is needed to confirm the effectiveness of various pharmacological interventions.