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  • Title: Primary Stabbing Headache.
    Author: Murray D, Dilli E.
    Journal: Curr Neurol Neurosci Rep; 2019 Jun 08; 19(7):47. PubMed ID: 31175457.
    Abstract:
    PURPOSE OF REVIEW: To provide a comprehensive and updated review of the literature on primary stabbing headache. RECENT FINDINGS: Changes to the ICHD-3 criteria have resulted in increased sensitivity to capture primary stabbing headache (PSH). According to the ICHD-3, the sharp stabbing pain is no longer restricted to the first division of the trigeminal nerve. Age, gender, and co-morbidities such as migraine seem to influence the prevalence of PSH. Subclassification into monophasic, intermittent, and chronic forms have been proposed in a recent prospective study and may be helpful from a prognostication perspective; however, further studies are required. Secondary etiologies for stabbing headaches are part of the differential diagnosis of primary stabbing headache; therefore, it is reasonable to perform neuroimaging. For severe frequent attacks, indomethacin continues to be considered first line. Other treatment options include COX2 inhibitors and melatonin.
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