Fuh J-L, Kuo K-H, Wang S-J
Neurological Institute, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan.
Cephalalgia. 2007 Sep;27(9):1005-9. doi: 10.1111/j.1468-2982.2007.01365.x. Epub 2007 Jul 23.
Primary stabbing headache (PSH) is a short-lasting but troublesome headache disorder which has been known for several decades. We surveyed and registered consecutive patients with PSH in a headache clinic in Taiwan. A total of 80 patients (24 M/56 F, 53.2 +/- 16.2 years) were enrolled in our study. Migraine was reported in 20 (25%) patients and was less common in those with PSH onset at >50 years than those with onset at <50 years (14% vs. 38%, P = 0.02). The headache was unilateral in 59% of the patients and always in a fixed area in 36%. The head pain frequently involved extratrigeminal regions (70%) and in 30 patients (38%) was accompanied by jolts, i.e. head or body movements. Indomethacin was effective (74%) in patients who received it. Our study showed primary stabbing headache was a common and easily treated headache disorder in headache clinic. However, 70% of our patients could not fulfil criterion A 'exclusively or predominantly in the distribution of the first division of the trigeminal nerve' and 15% could not fulfil criterion C 'no accompanying symptoms' of the International Classification of Headache Disorders-II criteria proposed for PSH.
原发性刺痛性头痛（PSH）是一种持续时间短但令人困扰的头痛疾病，已为人所知数十年。我们在台湾一家头痛诊所对连续性PSH患者进行了调查和登记。共有80例患者（24例男性/56例女性，年龄53.2±16.2岁）纳入我们的研究。20例（25%）患者报告有偏头痛，50岁以上起病的PSH患者中偏头痛较50岁以下起病者少见（14%对38%，P = 0.02）。59%的患者头痛为单侧性，36%的患者头痛总是局限于固定区域。头痛常累及三叉神经以外区域（70%），30例（38%）患者伴有抽搐，即头部或身体运动。吲哚美辛对接受该药治疗的患者有效（74%）。我们的研究表明，原发性刺痛性头痛在头痛诊所是一种常见且易于治疗的头痛疾病。然而，70%的患者不符合“完全或主要在三叉神经第一分支分布区”的标准A，15%的患者不符合国际头痛疾病分类-II中为PSH提出的标准C“无伴随症状”。
