Gabapentin-responsive idiopathic stabbing headache.

França, M C; Costa, A L C; Maciel, J A

França, M C; Costa, A L C; Maciel, J A.

Afiliação

França MC; Headache Clinic, Department of Neurology, Faculty of Medical Sciences, Campinas State University (UNICAMP), Sao Paulo, Brazil.

Cephalalgia ; 24(11): 993-6, 2004 Nov.

Article em En | MEDLINE | ID: mdl-15482364

RESUMO

Idiopathic stabbing headache (ISH) is defined as the occurrence of short-lasting, painful jabs, restricted to the ophthalmic division of the trigeminal nerve. It is closely related to other forms of headache (such as migraine and tension-type headache) and has been reported among all age groups, including children and adolescents. As pathogenic mechanisms of the disease remain unclear, management decisions are empirical and limited to few options. Classically, indomethacin has been considered the first option, but therapeutic failure occurs in up to 35% of cases. In this setting, we report four patients with young-onset indomethacin-resistant ISH which had good responses to gabapentin and discuss the use of this drug in the presenting situation.

Assuntos

Aminas/uso terapêutico; Ácidos Cicloexanocarboxílicos/uso terapêutico; Cefaleia/tratamento farmacológico; Ácido gama-Aminobutírico/uso terapêutico; Adolescente; Adulto; Feminino; Gabapentina; Cefaleia/fisiopatologia; Humanos

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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ácidos Cicloexanocarboxílicos / Ácido gama-Aminobutírico / Aminas / Cefaleia Tipo de estudo: Prognostic_studies Limite: Adolescent / Adult / Female / Humans Idioma: En Revista: Cephalalgia Ano de publicação: 2004 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

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