Extracephalic Stabbing Pain Temporally Related to Cephalic Ones

A 23‐year‐old woman consulted with the complaint of short‐lasting, severe stabbing headaches and mild‐to‐moderate degree near‐daily migrainous headaches. Further questioning revealed that she also had stabbing pain on both ipsilateral hand and calf. Stabs on the hand were time‐locked to cephalic one...

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Bibliographic Details
Published in:Headache 2004-07, Vol.44 (7), p.719-721
Main Authors: Selekler, Macit Hamit, Komsuoglu, Sezer Sener
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
extracephalic
Female
Hand
headache
Headache - complications
Headache - physiopathology
Humans
Leg
Medical sciences
Migraine Disorders - complications
Migraine Disorders - physiopathology
Neurology
pain
Pain - physiopathology
stabbing
Time Factors
Vascular diseases and vascular malformations of the nervous system
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Summary:A 23‐year‐old woman consulted with the complaint of short‐lasting, severe stabbing headaches and mild‐to‐moderate degree near‐daily migrainous headaches. Further questioning revealed that she also had stabbing pain on both ipsilateral hand and calf. Stabs on the hand were time‐locked to cephalic ones and stabs in the calf were alternating with the ones in the hand. Dizziness and scotomas were accompanying symptoms to cephalic ones and paresthesia was the accompanying symptom in the hand. Patient's cephalic and extracephalic stabbing pains responded to indomethacine and daily headaches responded to prophylactic sodium valproate therapy. The stabs were felt in the head; hand and calf are considered as the parts of a whole. Along with its accompanying symptoms, stabbing pain may be the result of complex interactions in central nervous system.
ISSN:0017-8748
1526-4610
DOI:10.1111/j.1526-4610.2004.04133.x