Department of Pediatrics, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
Pediatr Neurol. 2011 Oct;45(4):268-70. doi: 10.1016/j.pediatrneurol.2011.06.017.
Primary stabbing "ice-pick" headache is rarely reported in children. It is characterized by transient, sharp stabbing pain that occurs within a localized area of the scalp for seconds. Five children were diagnosed according to the International Classification of Headache Disorders Diagnostic Criteria, Second Edition. Ages at diagnosis ranged from 6-16 years (mean age, 9.8 years), with signs lasting for 3-12 months (mean, 6.5 months) before assessment. All children presented with recurrent daily to monthly headaches that were very brief, lasting for seconds. The headache was orbital in one child, temporal in one child, and occipital in three children. Three children manifested other associated migraine headache types, and two had a positive family history of migraine. Amitriptyline was prescribed to two patients because of headache frequency and severity. The signs gradually subsided in all patients during follow-up of 3 months to 5 years (mean, 27 months). Primary stabbing headache may occasionally occur in children with features different from those encountered in adults. The headache is less frequent and often occipital in location. Its signs respond well to amitriptyline. However, larger prospective pediatric studies are needed to describe this syndrome further.
原发性刺痛样头痛在儿童中很少见报道。其特征为短暂、尖锐的刺痛，持续数秒，发生于头皮的局部区域。根据国际头痛疾病分类第 2 版的诊断标准，诊断了 5 例患儿。诊断时的年龄为 6-16 岁（平均年龄 9.8 岁），在评估前，症状持续 3-12 个月（平均 6.5 个月）。所有患儿均表现为反复发作的每日至每月头痛，非常短暂，持续数秒。1 例患儿头痛为眶周痛，1 例患儿为颞部痛，3 例患儿为枕部痛。3 例患儿表现出其他类型的偏头痛，2 例患儿有偏头痛家族史。由于头痛频率和严重程度，2 例患儿给予阿米替林治疗。在 3 个月至 5 年（平均 27 个月）的随访中，所有患儿的症状逐渐缓解。原发性刺痛样头痛在儿童中偶有发生，其特征与成人不同。头痛发作频率较低，常位于枕部。其症状对阿米替林反应良好。然而，需要更大规模的前瞻性儿科研究来进一步描述该综合征。
