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Vol. 51, No. 1, 2004
Issue release date: January 2004
Section title: Original Paper
Eur Neurol 2004;51:6–9
(DOI:10.1159/000074910)

Idiopathic Stabbing Headache and Experimental Ice Cream Headache (Short-Lived Headaches)

Selekler H.M. · Budak F.
Department of Neurology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 5/22/2003
Accepted: 7/29/2003
Published online: 1/8/2004

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 3

ISSN: 0014-3022 (Print)
eISSN: 1421-9913 (Online)

For additional information: http://www.karger.com/ENE

Abstract

Idiopathic stabbing headache (ISH) and ice cream headache occur due to paroxysmal firing of trigeminal pathways and a defect in pain control mechanisms. Any defect in pain control mechanisms appears to be localized to the affected areas. Therefore, we compared ISH and experimentally induced ice cream headache localizations in the same group of migraine sufferers to investigate similarities and differences between these headaches. The percentage of ice cream headache localizations restricted to ‘in front of the vertex/on the vertex’ was 94%, while it was 45% for ISH. The percentage of ice cream headache occurrence behind the vertex was 6% and 55% for ISH. Due to the widespread distribution of ISH in the head, there might be irritation of various branches of the trigeminal nerve, while the restricted localizations of ice cream headache suggest irritation of a certain branch or branches of the trigeminal nerve, e.g. in the oropharynx. Either widespread or restricted irritation of trigeminal pathways causes either ISH or ice cream headache, in which intermittent deficits in central pain control mechanisms seem to be playing the key role.


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 5/22/2003
Accepted: 7/29/2003
Published online: 1/8/2004

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 3

ISSN: 0014-3022 (Print)
eISSN: 1421-9913 (Online)

For additional information: http://www.karger.com/ENE


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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