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

BACKGROUND: The clinical features and disease courses of primary stabbing headache (PSH) are diverse. We aimed to identify distinct clinical patterns of PSH. METHODS: We prospectively screened consecutive first-visit patients who presented with stabbing headache at the Samsung Medical Centre Headach...

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Autores principales: Kim, Dong Yeop, Lee, Mi Ji, Choi, Hyun Ah, Choi, Hanna, Chung, Chin-Sang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Milan 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5388665/
https://www.ncbi.nlm.nih.gov/pubmed/28401499
http://dx.doi.org/10.1186/s10194-017-0749-7
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author Kim, Dong Yeop
Lee, Mi Ji
Choi, Hyun Ah
Choi, Hanna
Chung, Chin-Sang
author_facet Kim, Dong Yeop
Lee, Mi Ji
Choi, Hyun Ah
Choi, Hanna
Chung, Chin-Sang
author_sort Kim, Dong Yeop
collection PubMed
description BACKGROUND: The clinical features and disease courses of primary stabbing headache (PSH) are diverse. We aimed to identify distinct clinical patterns of PSH. METHODS: We 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). RESULTS: In 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. CONCLUSIONS: Our 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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spelling pubmed-53886652017-04-27 Clinical patterns of primary stabbing headache: a single clinic-based prospective study Kim, Dong Yeop Lee, Mi Ji Choi, Hyun Ah Choi, Hanna Chung, Chin-Sang J Headache Pain Research Article BACKGROUND: The clinical features and disease courses of primary stabbing headache (PSH) are diverse. We aimed to identify distinct clinical patterns of PSH. METHODS: We 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). RESULTS: In 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. CONCLUSIONS: Our 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. Springer Milan 2017-04-11 /pmc/articles/PMC5388665/ /pubmed/28401499 http://dx.doi.org/10.1186/s10194-017-0749-7 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Research Article
Kim, Dong Yeop
Lee, Mi Ji
Choi, Hyun Ah
Choi, Hanna
Chung, Chin-Sang
Clinical patterns of primary stabbing headache: a single clinic-based prospective study
title Clinical patterns of primary stabbing headache: a single clinic-based prospective study
title_full Clinical patterns of primary stabbing headache: a single clinic-based prospective study
title_fullStr Clinical patterns of primary stabbing headache: a single clinic-based prospective study
title_full_unstemmed Clinical patterns of primary stabbing headache: a single clinic-based prospective study
title_short Clinical patterns of primary stabbing headache: a single clinic-based prospective study
title_sort clinical patterns of primary stabbing headache: a single clinic-based prospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5388665/
https://www.ncbi.nlm.nih.gov/pubmed/28401499
http://dx.doi.org/10.1186/s10194-017-0749-7
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