External Hand Warming as a Novel Treatment for Ice Pick Headaches: A Controlled Case Study

Hofstadter-Duke, Kristi L.; Allen, Keith D.

doi:10.1007/s10484-011-9146-1

Cited by 5 publications

(3 citation statements)

References 21 publications

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“…Out of these, 7 studies were excluded because they contained mixed adult and pediatric cohorts without stratified data on the pediatric population. We finally included 12 studies on which our comprehensive literature review was conducted [7][8][9][10][11][12][13][14][15][16][17][18].…”

Section: Methodsmentioning

confidence: 99%

“…In the case study presented by Hofstadter-Duke et al, the patient was diagnosed with two additional types of primary headaches, other than PSH, including tension-type headache, occurring daily, and migraine, occurring with a weekly frequency [14]. The patient identified Stabbing Headache, which occurred daily, as the most debilitating type of headache pain.…”

Section: Presence Of Other Headache Disordersmentioning

confidence: 98%

“…A single controlled case study suggests that external hand warming could reduce the intensity and frequency of PSH attacks with a significant increase in pain-free days; the patient's caregiver also reported overall better functioning in daily life. External warming consists of applying warm mittens for 5 min two times a day for one month, which turned out to be a noninvasive procedure with no side effects [14]. No specific acute therapy has been described in the selected articles focusing on children and adolescents with PSH; this gap in the literature could be due to the overall brief duration of each single PSH attack [17,26].…”

Section: Treatmentmentioning

confidence: 99%

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Primary Stabbing Headache in Children and Adolescents

Reimers,

Bonemazzi,

Brunello

et al. 2024

Life

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Background: Primary Stabbing Headache (PSH) is characterized by brief, focal, and paroxysmal pain (“stab”), occurring sporadically or in clusters. Data on pediatric cases are poor. Methods: We performed a comprehensive literature review by searching PubMed, Cochrane, and Embase in order to collect pediatric case reports and case series of PSH. Results: A total of 12 out of 162 articles assessed for eligibility were finally included. The prevalence of PSH and probable PSH varies from 2.5 to 10% among children with primary headaches and it is higher among children aged less than 6 years old. The mean age of onset is between 7 and 11 years of age. Attack duration greatly varies, ranging from a few seconds to several minutes. The intensity of pain is usually from moderate to severe. Associated symptoms are infrequent but may be observed (mainly photophobia, vertigo, nausea, and vomiting). Neuroradiological findings are usually unremarkable; EEG may show sporadic epileptiform abnormalities (up to 30% of cases). Preventive therapy is anecdotal, including treatment with indomethacin, trazodone, valproate, and amitriptyline. Conclusion: PSH is a common but still underdiagnosed entity among children with primary headaches; further and larger cohort studies are needed to better assess, in particular, prognosis and response to therapy.

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