Pseudo-spinal headache.

BACKGROUND AND OBJECTIVES

Myofascial trigger points are often not considered in the differential diagnosis of headaches.

METHODS

A patient who presented with severe bifrontal headaches was treated by injections of the sternocleidomastoid muscle trigger points with local anesthetics.

RESULTS

The patient experienced complete resolution of all symptoms, which had not reappeared after 14 months.

CONCLUSIONS

Myofascial pain may mimic other disorders, and myofascial headaches can be easily treated once properly diagnosed.