Skip to main content

Advertisement

Log in

Primary Stabbing Headache in Adults and Pediatrics: a Review

  • Uncommon Headache Syndromes (J Ailani, Section Editor)
  • Published:
Current Pain and Headache Reports Aims and scope Submit manuscript

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

Primary stabbing headache (PSH) is an under-recognized primary headache disorder, which often goes undiagnosed. It is mainly characterized by its ultrashort stabbing quality and can be easily overlooked both by patients and providers as it is often not severe enough to interfere significantly with daily life. However, PSH may be severe and require therapy, and it is important for providers to recognize this headache type, both in adult and pediatric populations, as well as to be able to distinguish it from secondary headache disorders. PSH also may be more common than previously thought.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Explore related subjects

Discover the latest articles and news from researchers in related subjects, suggested using machine learning.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Headache Classification Committee of the International Headache Society (HIS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia. 2013;33:629–808.

    Article  Google Scholar 

  2. Pareja J, Sjaastad O. Primary stabbing headache. Handb Clin Neurol. 2011;97:453–7. This is the most recent review of the topic of PSH.

    Article  Google Scholar 

  3. Headache Classification Committee of the International Headache Society (HIS). The International Classification of Headache Disorders, 2nd edition. Cephalalgia. 2004;24 Suppl 1:9–160.

    Google Scholar 

  4. Pareja JA, Ruiz J, de Isla C, Al-Sabbah H, Espejo J. Idiopathic stabbing headache (jabs and jolts syndrome). Cephalalgia. 1996;16:93–6.

    Article  PubMed  CAS  Google Scholar 

  5. Sjaastad O, Petterson H, Bakketeig LS. The Vaga Study: epidemiology of headache I: the prevalence of ultrashort paroxysms. Cephalalgia. 2001;21:207–15.

    Article  PubMed  CAS  Google Scholar 

  6. Rasmussen BK. Epidemiology of headache. Cephalalgia. 1995;15:45–68.

    PubMed  CAS  Google Scholar 

  7. Monteiro JM. Cefaleias. Estudio epidemiologico e clinic de uma populacao urbana. Thesis Porto. 1995.

  8. Rampello L, Malaguarnera M, Rampello L, Nicolleti G, Battaglia G. Stabbing headache in patients with autoimmune disorders. Clin Neurol Neurosurg. 2012;114:751–3.

    Article  PubMed  Google Scholar 

  9. Guerrero AL, Herrero S, Pen ML, Cortijo E, Rojo E, Mulero P, et al. Incidence and influence on referral of primary stabbing headache in an outpatient headache clinic. J Headache Pain. 2011;12:311–3.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  10. Tugba T, Serap U, Esra O, Ozlem C, Ufak E, Levent I. Features of stabbing, cough, exertional, and sexual headaches in a Turkish population of headache patients. J Clin Neurosci. 2008;15:774–7.

    Article  PubMed  Google Scholar 

  11. Fuh J-L, Kuo K-H, Wang S-J. Primary stabbing headache in a headache clinic. Cephalalgia. 2007;27:1005–9.

    Article  PubMed  Google Scholar 

  12. Liang X, Ying G, Huang Q, Wang J, Li N, Tan G, et al. Characteristics of primary stabbing headache in a tertiary neurological clinic in China. Pain Med. 2014; (Epub ahead of print).

  13. Raskin NH, Schwartz RK. Icepick-like pain. Neurology. 1980;30:203–5.

  14. Shin JH, Song HK, Lee JH, Kim WK, Chu MK. Paroxysmal stabbing headache in the multiple dermatomes of the head and neck: a variant of primary stabbing headache or occipital neuralgia? Cephalalgia. 2007;27:1101–8.

    Article  PubMed  CAS  Google Scholar 

  15. Kramer U, Nevo Y, Neufeld MY, Harel S. The value of EEG in children with chronic headaches. Brain Dev. 1994;16:304–8.

    Article  PubMed  CAS  Google Scholar 

  16. Soriani S, Batistella PA, Arnaldi C, De Carlo L, Cernetti R, Corra S, et al. Juvenile idiopathic stabbing headache. Headache. 1996;36:565–7.

    Article  PubMed  CAS  Google Scholar 

  17. Vieri JP, Salgueiro AB, Alfaro M. Short-lasting headaches in children. Cephalalgia. 2006;26:1220–4.

    Article  Google Scholar 

  18. Fusco C, Pisani F, Faienza C. Idiopathic stabbing headache: clinical characteristics of children and adolescents. Brain Dev. 2003;25:237–40.

    Article  PubMed  Google Scholar 

  19. Raieli V, Elizeo M, Pandolfi E, La Vecchia M, La Franca G, Puma D, et al. Recurrent and chronic headaches in children below 6 years of age. J Headache Pain. 2005;6:135–42.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Sjaastad O, Petterson H, Bakketeiq LS. The Vaga Study of Epidemiology II. Jabs: clinical manifestations. Acta Neurol Scand. 2002;105:25–31.

    Article  PubMed  CAS  Google Scholar 

  21. Sjaastad O, Petterson H, Bakketeiq LS. Long lasting cephalic jabs (?) the Vaga study of headache epidemiology. Cephalalgia. 2005;25:581–92.

    Article  PubMed  CAS  Google Scholar 

  22. Martins IP, Parreira E, Costa I. Extratrigeminal ice-pick status. Headache. 1995;35:107–10.

    Article  PubMed  CAS  Google Scholar 

  23. Marcos MM, Velincia MR, Agiuerre JJ. Primary stabbing headache with buccal triggers. Eur Neurol. 2005;53:91–2.

    Article  PubMed  CAS  Google Scholar 

  24. Selekler HM, Budak F. Idiopathic stabbing headache and experimental ice cream headache (short lived headaches). Eur Neurol. 2004;51:6–9.

    Article  PubMed  Google Scholar 

  25. Wilbrink LA, Weller CM, Cheung C, Haan J, Ferrari MD. Cluster-tic syndrome: a cross-sectional study of cluster headache patients. Headache. 2013;53:1334–40.

    Article  PubMed  Google Scholar 

  26. Marin LB, Felicio AC, Santos WAC, Silva PCF, Gorinchteyn JC, Marinho IS. Stabbing headache as the initial manifestation of herpetic meningoenchephalitis. J Headache Pain. 2010;11:445–6.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Mascellino AM, Lay CL, Newman LC. Stabbing headache as the presenting manifestation of intracranial meningioma: a report of two patients. Headache. 2001;41:599–601.

    Article  PubMed  CAS  Google Scholar 

  28. Levy MJ, Matharu MS, Meeran M, Goadsby PJ. The clinical characteristics of headache in people with pituitary tumors. Brain. 2005;128:1921–30.

    Article  PubMed  CAS  Google Scholar 

  29. Robbins M. Transient stabbing headache from an acute thalamic hemorrhage. J Headache Pain. 2011;12:373–5.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Rozen T. Brief sharp stabs of head pain in Giant Cell Arteritis. Headache. 2010;50:1516–9.

  31. Klein M, Woehrl B, Zeller G, Straube A. Stabbing headache as a sign of relapses in multiple sclerosis. Headache. 2013;53:1159–61.

    Article  PubMed  Google Scholar 

  32. Ergun U, Ozer G, Sekercan S, Artan E, Kudiaki C, Ucler S, et al. Headaches in the different phases of relapsing-remitting multiple sclerosis. Neurologist. 2009;15:212–6.

    Article  PubMed  Google Scholar 

  33. Dodick D. Indomethacin responsive headache syndromes. Curr Pain Headache Rep. 2004;8:19–26.

    Article  PubMed  Google Scholar 

  34. Mathew NT. Indomethacin responsive headache syndromes. Headache. 1981;21:147–50.

    Article  PubMed  CAS  Google Scholar 

  35. Piovesan EJ, Zukerman E, Kowacs PA, Werneck LC. Cox-2 inhibitor for the treatment of primary stabbing headache secondary to cerebrovascular disease. Cephalalgia. 2002;22:197.

    Article  PubMed  CAS  Google Scholar 

  36. O’ Connor MB, Murphy E, Phelan MJ, Regan MJ. Primary stabbing headache can be responsive to etoricoxib, a selective COX-2 inhibitor. Eur J Neurol. 2008;15:e1.

    Article  Google Scholar 

  37. Franca Jr MC, Costa AL, Maciel Jr JA. Gabapentin responsive idiopathic stabbing headache. Cephalalgia. 2004;24:993–6.

    Article  PubMed  Google Scholar 

  38. Rozen TD. Melatonin as a treatment for idiopathic stabbing headache. Neurology. 2003;61:865–6.

    Article  PubMed  Google Scholar 

  39. Piovesan EJ, Teive HG, Kowacs PA, Da Silva LL, Werneck LC. Botulinum Neurotoxin type-A for primary stabbing headache. Arq Neuropsiquiatr. 2010;68:212–5.

    Article  PubMed  Google Scholar 

  40. Myers KA, Smyth KA. Preadolescent indomethacin responsive headaches without autonomic symptoms. Headache. 2013;53:977–80.

    Article  PubMed  Google Scholar 

  41. Mukharesh L, Jan M. Primary stabbing “ice-pick” headache. Pediatr Neurol. 2011;45:268–70.

    Article  PubMed  Google Scholar 

Download references

Compliance with Ethics Guidelines

Conflict of Interest

Suzanne Hagler and Karen Ballaban-Gil declare that they have no conflicts of interest. Matthew S. Robbins is a section editor for Current Pain and Headache Reports. Dr. Robbins has received honoraria from North-Shore LIJ Hofstra School of Medicine, SUNY-Downstate College of Medicine, and payment for manuscript preparation from Medlink Neurology and American College of Physicians (PIER Module). Dr. Robbins received payment for the development of educational presentations including service on speakers' bureaus from American Headache Society and Prova Education CME. Dr. Robbins received royalties from Wiley.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Matthew S. Robbins.

Additional information

This article is part of the Topical Collection on Uncommon Headache Syndromes

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hagler, S., Ballaban-Gil, K. & Robbins, M.S. Primary Stabbing Headache in Adults and Pediatrics: a Review. Curr Pain Headache Rep 18, 450 (2014). https://doi.org/10.1007/s11916-014-0450-3

Download citation

  • Published:

  • DOI: https://doi.org/10.1007/s11916-014-0450-3

Keywords