Synonyms:
a.k.a. primary stabbing headache a.k.a. idiopathic Ice pick pain a.k.a. jabs and jolts syndrome:
Diagnosis:
Clinical:
- Sharp ice pick like pain, lasting less than 1 second
- Within the distribution of trigeminal nerve, especially V1 division. Rarely it is outside this distribution
- May cause flinching & may occur in a series
Note:
- Ice pick like pain also occurs in Migraine, Cluster headache & giant cell arteritis.
Treatment:
- If repetitive: Indomethacin TID