Primary Stabbing Headache in Children and Adolescents

Takeshita, Mika; Ishida, Yu; Kano, Kanako; Go, Soken; Morıchı, Shinichiro; Morishita, Natsumi; Suzuki, Shinji; Takamatsu, Tomoko; Watanabe, Yusuke; Oana, Shingo; Kawashima, Hisashi; Yamanaka, Gaku

doi:10.1007/s12098-021-03889-0

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…Out of these, 7 studies were excluded because they contained mixed adult and pediatric cohorts without stratified data on the pediatric population. We finally included 12 studies on which our comprehensive literature review was conducted [7][8][9][10][11][12][13][14][15][16][17][18].…”

Section: Methodsmentioning

confidence: 99%

“…Most studies also analyzed the prevalence of a family history of headache disorder, finding it positive in 31-58% of patients, mainly represented by a positive history of migraine: in the case study by Takeshita et al, three out of five children (60%) also manifested migraine and had a relative who suffered from migraine [17]. The study by Ahmed et al found that only 2 patients out of 42 (5%) had a relative who suffered from PSH [16].…”

Section: Family History Of Headache Disordersmentioning

confidence: 99%

“…External warming consists of applying warm mittens for 5 min two times a day for one month, which turned out to be a noninvasive procedure with no side effects [14]. No specific acute therapy has been described in the selected articles focusing on children and adolescents with PSH; this gap in the literature could be due to the overall brief duration of each single PSH attack [17,26].…”

Section: Treatmentmentioning

confidence: 99%

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Primary Stabbing Headache in Children and Adolescents

Reimers,

Bonemazzi,

Brunello

et al. 2024

Life

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Background: Primary Stabbing Headache (PSH) is characterized by brief, focal, and paroxysmal pain (“stab”), occurring sporadically or in clusters. Data on pediatric cases are poor. Methods: We performed a comprehensive literature review by searching PubMed, Cochrane, and Embase in order to collect pediatric case reports and case series of PSH. Results: A total of 12 out of 162 articles assessed for eligibility were finally included. The prevalence of PSH and probable PSH varies from 2.5 to 10% among children with primary headaches and it is higher among children aged less than 6 years old. The mean age of onset is between 7 and 11 years of age. Attack duration greatly varies, ranging from a few seconds to several minutes. The intensity of pain is usually from moderate to severe. Associated symptoms are infrequent but may be observed (mainly photophobia, vertigo, nausea, and vomiting). Neuroradiological findings are usually unremarkable; EEG may show sporadic epileptiform abnormalities (up to 30% of cases). Preventive therapy is anecdotal, including treatment with indomethacin, trazodone, valproate, and amitriptyline. Conclusion: PSH is a common but still underdiagnosed entity among children with primary headaches; further and larger cohort studies are needed to better assess, in particular, prognosis and response to therapy.

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Section: Methodsmentioning

confidence: 99%

Section: Family History Of Headache Disordersmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

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Primary Stabbing Headache in Children and Adolescents

Reimers,

Bonemazzi,

Brunello

et al. 2024

Life

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“…A family history of primary headaches is common in pediatric patients with PSH, with migraine being the most common type (18,25,27). However, an association with migraine was not well documented in children and adolescents with PSH unlike adult patients (18,27), whereas episodic syndromes associated with migraine such as cyclic vomiting and recurrent abdominal pain were relatively frequent in pediatric patients in one study (18) and a recent case series reported six children with PSH and concomitant migraine or tension-type headache (28). Although different diagnostic criteria were applied according to the study period, studies showed clinical manifestations of PSH in adolescents and children were similar to those of adult PSH (29).…”

Section: Clinical Manifestationmentioning

confidence: 98%

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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Sudden onset headaches in paediatric emergency departments: diagnosis and management

Lenglart,

Monteil,

Spreafico

et al. 2023

Ital J Pediatr

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Headache is one of the most common pain syndromes in the paediatric population. Headaches are classified as primary (migraine, tension-type headaches, trigeminal autonomic cephalalgia and other primary headaches) or secondary (e.g. post-traumatic). Non-febrile, non-traumatic headaches represent 1% of all paediatric emergency departments (PED) visits. Many patients present with an acute, moderate to severe pain, sometimes with a sudden onset. Sudden onset headache can be the main symptom of life-threatening neurological conditions as well as a sign of primary headaches such as thunderclap or stabbing headaches. This review aims to describe the presentation of sudden primary headaches in children, in order to help the physician to provide effective management in the emergency setting.

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Primary Stabbing Headache in Children and Adolescents

Cited by 3 publications

References 4 publications

Primary Stabbing Headache in Children and Adolescents

Primary Stabbing Headache in Children and Adolescents

Epicranial headache part 1: Primary stabbing headache

Sudden onset headaches in paediatric emergency departments: diagnosis and management

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