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Related Experiment Videos

Icepick-like pain

N H Raskin, R K Schwartz

    Neurology
    |February 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Migraine sufferers frequently experience sharp, jabbing head pain, often localized and concurrent with headaches. This icepick-like pain is a distinct migraine symptom, not trigeminal neuralgia.

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    Area of Science:

    • Neurology
    • Pain Medicine
    • Headache Disorders

    Background:

    • Sharp, jabbing head pain, often described as icepick-like, is a recognized but not fully understood phenomenon.
    • Distinguishing this pain from other cranial neuralgias, such as trigeminal neuralgia, is clinically important.

    Purpose of the Study:

    • To investigate the incidence and clinical characteristics of sharp, jabbing head pain in migraineurs compared to a control group.
    • To determine if this type of pain is a manifestation of migraine.

    Main Methods:

    • A comparative study involving 100 individuals diagnosed with migraine and 100 healthy control subjects.
    • Participants were assessed for the occurrence, frequency, location, description, and concurrent symptoms of sharp cranial pain.

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    Main Results:

    • 42% of migraineurs reported experiencing sharp, jabbing head pain, compared to only 3% of controls (p < 0.001).
    • This pain was often unilateral (45%), described as icepick-like (52%), occurred frequently (monthly or more in 50%), and frequently coincided with migraine headaches (69%).

    Conclusions:

    • Icepick-like head pain is significantly more common in migraineurs than in the general population.
    • The findings suggest that icepick-like pain is a clinical manifestation of migraine and should be differentiated from trigeminal neuralgia.