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Byline: Vincenzo Raieli (1), Giovanni Luca Eliseo (1), Michela La Vecchia (1), Girolama La Franca (1), Eleonora Pandolfi (1), Domenico Puma (1), Donatella Ragusa (1), Mario Eliseo (1) Keywords: Key words Stabbing headache; Juvenile population; Short paroxysms Abstract: Idiopathic stabbing headache is a not well known type of pain, and few reports have described the disorder in juvenile age. We report a sample of 30 juvenile patients with clinical features of stabbing headache after having excluded other pain disorders. We observed the presence of psychological features and the lack of association with migraine, unlike in the adult form. Some patients needed pharmacological treatment but the prognosis was good. Further studies are needed to better understand the mechanisms of pain and possible triggering factors. Author Affiliation: (1) Division of Child Neuropsychiatry, G. Ingrassia Hospital, AUSL 6, Via Gaetano La Loggia 3, I-90129 Palermo, Italy, e-mail: vinzi.raielk@inwind.it, Tel.: +39-091-7033275, Fax: +39-091-7033253, IT Article note: Received: 6 November 2001 / Accepted in revised form: 14 January 2002

Byline: Sanjay. Prakash, Manoj. Kumar, Pooja. Belani, Asish. Susvirkar, Sunil. Ahuja Background: Headache, musculoskeletal symptoms, and vitamin D deficiency are common in the general population. However, the interrelations between these [...]

Byline: Baki Goksan (1), Feray Karaali-Savrun (1), Mert Savrun (1) Keywords: Key words Idiopathic stabbing headache; Ice-pick pain; Headache temporal profile Abstract: We describe a patient with a variant of idiopathic stabbing headache (ISH). This case differs from ISH by its temporal profile (status-like), its region (extratrigeminal), its lack of association with other types of headache, and the episodic form of pain attacks. Author Affiliation: (1) Department of Neurology and Psychiatry, CerrrahpaAa School of Medicine, Istanbul University, 34303 CarrahpaAa, Istanbul, Turkey, e-mail: mertsav@istanbul.edu.it, Tel.: +0090-212-5884800/1838, Fax: +0090-212-2278353, TR Article note: Received: 5 April 2001 / Accepted in revised form: 4 October 2001

Byline: Francesca Tagliente (1), Francesca M. Ruju (1), Antonio Pascotto (1) Keywords: Tension-type headache; Therapy; Children; Adolescents Abstract: Abstract Children frequently suffer from migraine or tension-type headaches, and the headache pain not only interferes with a patient's life but can affect his entire family. Headache management includes not only pharmacological agents but also a complete assessment of the patient's life-style and possible stressor factors, as well as an accurate assessment of his or her present episodic therapy. Stress may play a role in precipitating headache attacks, and it is crucial to keep in mind that school and interpersonal relationships are the most significant stressor factors in the adolescent life. Several factors must be considered to achieve successful treatment. The medication must be given as early as possible and the dose administered must be sufficient. Paracetamol can still be considered as the treatment of first choice. Ibuprofen and acetylsalicylic acid should be used in patients refractory to paracetamol. There are no controlled studies on the pharmacological prophylaxis of tension-type headache in children and adolescents. However, amitriptyline may be used considering its efficacy in adults and some experience with this compound in other conditions in childhood and adolescence. In children with a disturbed home life, significant depression, or abuse, family and individual psychoterapy are indicated. Author Affiliation: (1) Child and Adolescent Neuropsychiatric Institute, Seconda Universita di Napoli, Via S. Pansini 5, I-80100, Naples, Italy Article History: Registration Date: 01/01/2004