Stabbing headache as the initial manifestation of herpetic meningoencephalitis

Marin, Luís Fabiano; Felı́cio, André Carvalho; Santos, William Adolfo Celso dos; Silva, Paulo Cesar Floriano; Gorinchteyn, Jean Carlo; Marinho, Ivan Silva

doi:10.1007/s10194-010-0220-5

Cited by 7 publications

(4 citation statements)

References 5 publications

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“…Primary stabbing headache is a short duration headache disorder that is characterized by brief paroxysms of sharp head pain often located in the first division of the trigeminal nerve, occurring at an irregular frequency, lacking any accompanying symptoms, and not attributable to any underlying cause [ 1 ]. Stabbing headache has also been reported to occur as a symptom of, or in association with, a variety of underlying secondary disorders, including giant cell arteritis [ 2 , 3 ], pituitary tumors [ 4 ], meningiomas [ 5 ], ocular pathology [ 6 ], ischemic stroke [ 6 , 7 ], cavernous hemangioma of the frontal bone [ 8 ], and varicella zoster meningoencephalitis [ 9 ]. Stabbing headache has not been reported to manifest as a direct consequence of a small well-circumscribed acute brain lesion, and its pathophysiology remains elusive.…”

Section: Introductionmentioning

confidence: 99%

Transient stabbing headache from an acute thalamic hemorrhage

Robbins

2011

J Headache Pain

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Stabbing headache can be encountered in both primary and secondary forms, but has been infrequently reported among patients with stroke, and is not known to be associated with a small well-circumscribed brain lesion. A 95-year-old woman taking warfarin presented with the sudden onset of stabbing headache strictly in the right frontal and supraorbital regions, along with gait imbalance and dysarthria. Neuroimaging revealed a small left thalamic hematoma. This association of an acute thalamic lesion with stabbing headache in the contralateral trigeminal distribution is discussed, along with a brief review of stabbing headache occurring in cerebrovascular disease.

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Section: Introductionmentioning

confidence: 99%

Transient stabbing headache from an acute thalamic hemorrhage

Robbins

2011

J Headache Pain

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“…[3][4][5] A single case of herpes zoster meningoencephalities and stabbing headache as its initial symptom has also been reported in the literature. 6 A neurologic examination of our patient revealed nothing abnormal, and neuroimaging did not reveal any pathology of the central nervous system. Pang et al 7 reported a case of a short-lasting 1-sided headache with associated autonomic symptoms (SUNCTs-like symptoms) during the course of sphenoiditis.…”

Section: Discussionmentioning

confidence: 55%

Stabbing Headache in an 8-Year-Old Girl: Primary or Drug Induced Headache?

2014

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The occurrence of stabbing headaches in children requires a thorough diagnostic approach that excludes secondary headaches. The organic background should be taken into consideration when alarming symptoms occur, such as a purely 1-sided location, a change in the character of the headache, or possibly a link to physical activity. The current study describes the case of an 8-year-old girl who suffered short-lasting stabbing headache attacks. The headaches with increasing intensity and frequency started 1 month before her hospitalization and were usually preceded by physical activity (dancing, running). The pain, which was located in the right supraorbital region, lasted 1 second and occurred several times during the day. No associated symptoms were observed. In addition, the girl suffered from allergic rhinitis and was on antiallergic treatment (levocetirizine, fluticasone nasal spray). On admission she was in good general condition, and a pediatric and neurologic examination revealed no abnormalities. Her brain MRI was normal. The initial diagnosis was that the patient was suffering from primary stabbing headaches. However, during a follow-up visit 4 months later, a relationship was observed between the cessation of the headache attacks and the discontinuation of an antihistaminic drug. Six months later, the girl remained headache free. In cases involving differential diagnoses of stabbing headaches, it is important to consider the adverse reactions of the drugs used.

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“…2,3,7,8 Cases of secondary stabbing headache have also been published. [9][10][11][12][13][14][15] The authors report a case of a woman suffering from a stabbing headache which features that has not been previously described -a menstrual pattern in the presentation of stabbing headache attacks.…”

Section: Introductionmentioning

confidence: 94%

Menstrually-related stabbing headache in a patient without migraine: case report

Valença

Silva‐Néto²

2022

Headache Med

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Introduction Stabbing headache is considered a primary headache and is a prevalent entity in the general population. Objective To present an unusual case of stabbing headache associated with menstruation. Method Data collected through complete anamnesis. Case report The authors report a case of a woman suffering from a stabbing headache which features that has not been previously described – a menstrual pattern in the presentation of stabbing headache attacks. Conclusions We conclude that this menstrual pattern of stabbing headache attacks is unusual in patients with primary stabbing headache and that it does not fulfil diagnostic criteria for migraine or tension-type headache.

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Stabbing headache as the initial manifestation of herpetic meningoencephalitis

Cited by 7 publications

References 5 publications

Transient stabbing headache from an acute thalamic hemorrhage

Transient stabbing headache from an acute thalamic hemorrhage

Stabbing Headache in an 8-Year-Old Girl: Primary or Drug Induced Headache?

Menstrually-related stabbing headache in a patient without migraine: case report

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