Field testing primary stabbing headache criteria according to the 3rd beta edition of International Classification of Headache Disorders: a clinic-based study

Lee, Minwoo; Chu, Min Kyung; Lee, Juyoung; Yoo, Jinhyuk; Song, Heesang

doi:10.1186/s10194-016-0615-z

Cited by 11 publications

(17 citation statements)

References 24 publications

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“…Previous studies have reported different demographics and characteristics [ 4 , 7 , 12 , 17 , 18 ]. Our results showed that different characteristics were involved in the chronicity.…”

Section: Discussionmentioning

confidence: 99%

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Clinical patterns of primary stabbing headache: a single clinic-based prospective study

et al. 2017

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BackgroundThe clinical features and disease courses of primary stabbing headache (PSH) are diverse. We aimed to identify distinct clinical patterns of PSH.MethodsWe prospectively screened consecutive first-visit patients who presented with stabbing headache at the Samsung Medical Centre Headache Clinic from June 2015 to March 2016. Demographics, headache characteristics, and disease courses were prospectively evaluated. After discerning factors related to the chronicity at the time of presentation, clinical patterns were identified based on the frequency (daily vs. intermittent), clinical course (remitted or not), and total disease duration (<3 or >3 months).ResultsIn the 65 patients with PSH included in this study, monophasic (n = 31), intermittent (n = 17), and chronic daily (n = 12) patterns were identified. The median disease durations were 9 days for monophasic PSH, 9 months for chronic daily PSH, and 2 years for intermittent PSH. The features of monophasic PSH were greater severity, single and side-locked locations, more attacks per day, daily occurrence, and good treatment response. Chronic daily PSH was associated with female predominance, longer-lasting stabs, and multiple or migrating locations on bilateral or alternating sides. The characteristics of intermittent PSH included female predominance and sporadic stabs with less intensity.ConclusionsOur study demonstrated distinct clinical patterns of PSH. In addition to help early recognition of disease, our findings suggest different pathophysiologic mechanisms. Future prospective studies are required to reveal the etiologies of these different PSH patterns and their optimal treatment strategies.

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“…Previous studies have reported different demographics and characteristics [ 4 , 7 , 12 , 17 , 18 ]. Our results showed that different characteristics were involved in the chronicity.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnostic criteria for PSH have recently been revised in the ICHD 3rd edition beta version (ICHD-3 beta), particularly regarding the location of the pain and associated symptoms [ 3 ]. Most PSH patients have very brief attacks [ 4 – 7 ]. Migraineurs often have PSH, during or independently from migraine attack [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical patterns of primary stabbing headache: a single clinic-based prospective study

et al. 2017

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“…In a study 27 enrolling 280 individuals with headache with a stabbing quality of pain, 245 of them were followed up for 2 weeks. Secondary causes for SH were observed in nine patients (3.7%, herpes zoster in seven patients and Bell's palsy in two patients).…”

Section: Discussionmentioning

confidence: 99%

“…We also had the chance to examine patients complaining of SH In a study 27 enrolling 280 individuals with headache with a stabbing quality of pain, 245 of them were followed up for 2 weeks.…”

Section: Re Sultsmentioning

confidence: 99%

Secondary stabbing headache associated with intracranial tumors, aneurysms, and arteriovenous malformation: An alarming warning sign

et al. 2021

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“…Bodily jabs have been reported infrequently in population-based surveys (1.1% in the Vågå study) (24); however, they are relatively common in clinical studies (12–13%) (5,17). Allodynia has been reported in 19–37% of patients in clinic-based studies (5,16,17). While nausea, vomiting, photophobia, and phonophobia have been reported as accompanying symptoms (5,14), they are not prominent in most patients with typical PSH that does not overlap with migraine attacks.…”

Section: Clinical Manifestationmentioning

confidence: 99%

Epicranial headache part 1: Primary stabbing headache

2023

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Background/objective Primary stabbing headache is a common but under-recognized primary headache disorder. The objectives of this review were to provide practical information for better understanding and identification of the disease, suggest an algorithm for differential diagnosis, and provide an insight into the pathophysiology of primary stabbing headache hypothesized from its clinical course. Methods This narrative review of primary stabbing headache is based on a literature search and the authors’ clinical reasoning. Result The phenotype of each stab is typically abrupt, ultrashort-lasting (<3 s), focal or multifocal, paroxysms of pain occurring sporadically or in clusters. The diagnosis of primary stabbing headache is clinical; fixed or migrating stabs without background pain or sensory abnormalities and the absence of features suggestive of other disorders (e.g., cranial autonomic symptoms or signs) can aid in the diagnosis of primary stabbing headache. The clinical patterns include monophasic, intermittent, and chronic primary stabbing headache, of which the first two are considered typical. The pathophysiology of primary stabbing headache has not yet been elucidated. In this review, we postulated the mechanism of stabbing headache, based on the pain phenotype and clinical course, and provide a clinical algorithm for the differential diagnosis of primary stabbing headache. Conclusion Knowledge about the typical manifestations and clinical patterns of primary stabbing headache will aid in the proper diagnosis and differential diagnosis. Treatment should be tailored by considering the clinical patterns. Further research is needed to elucidate the pathophysiological mechanisms and optimal treatment of primary stabbing headache.

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Field testing primary stabbing headache criteria according to the 3rd beta edition of International Classification of Headache Disorders: a clinic-based study

Cited by 11 publications

References 24 publications

Clinical patterns of primary stabbing headache: a single clinic-based prospective study

Clinical patterns of primary stabbing headache: a single clinic-based prospective study

Secondary stabbing headache associated with intracranial tumors, aneurysms, and arteriovenous malformation: An alarming warning sign

Epicranial headache part 1: Primary stabbing headache

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