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Ice Pick Headache.

Abigail L Chua1, Stephanie Nahas2

  • 1Jefferson Headache Center, 900 Walnut St. Suite 200, Philadelphia, PA, 19107, USA. Abigail.Chua@jefferson.edu.

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|April 4, 2016
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Summary
This summary is machine-generated.

Ice pick headache, or primary stabbing headache, causes brief, intense head pain. While often responsive to indomethacin, alternative treatments like gabapentin are available for persistent cases.

Keywords:
Ice pick headacheIdiopathic stabbing headacheIndomethacin responsiveJabs and joltsPrimary stabbing headache

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Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Ice pick headache, also known as primary stabbing headache, is characterized by ultra-brief, sharp pain, typically in the frontal or temporal regions.
  • This condition predominantly affects women, with prevalence estimates ranging from 2-35% of the population.
  • Unlike SUNCT (short-lasting unilateral neuralgiform headache with conjunctival injection and tearing), ice pick headache lacks cranial autonomic symptoms but may co-occur with nausea, vomiting, photophobia, and dizziness.

Purpose of the Study:

  • To describe the clinical characteristics and presentation of ice pick headache.
  • To differentiate ice pick headache from other short-duration headache disorders.
  • To review the primary and secondary causes and outline current and alternative treatment strategies for ice pick headache.

Main Methods:

  • Literature review of primary stabbing headache.
  • Analysis of clinical features and associated symptoms.
  • Summary of treatment efficacy and alternative therapeutic options.

Main Results:

  • Ice pick headache presents as sudden, stabbing pain, primarily in women, and is not linked to autonomic symptoms.
  • Secondary causes include neurological conditions like stroke and multiple sclerosis.
  • Indomethacin responsiveness varies, with up to 35% of patients not benefiting significantly.

Conclusions:

  • Ice pick headache is a distinct primary headache disorder with specific clinical features.
  • Effective management may require exploring treatments beyond indomethacin, including gabapentin and COX-2 inhibitors.
  • Further research into the pathophysiology and optimal treatment of ice pick headache is warranted.