Volume 15, Issue 5 pp. 871-875
Original Research Article

Characteristics of Primary Stabbing Headache in a Tertiary Neurological Clinic in China

Xiping Liang MD

Xiping Liang MD

Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China

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Guomin Ying MD

Guomin Ying MD

Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China

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Qingqing Huang MD

Qingqing Huang MD

Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China

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Jing Wang MD

Jing Wang MD

Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China

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Nan Li MD

Nan Li MD

Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China

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Ge Tan MD, PhD

Ge Tan MD, PhD

Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China

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Tristan R. Zhang MD

Tristan R. Zhang MD

Department of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China

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Zhen Huang MD

Zhen Huang MD

Department of Anesthesiology, Loma Linda University Medical Center, Loma Linda, California, USA

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Jiying Zhou MD, PhD

Corresponding Author

Jiying Zhou MD, PhD

Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China

Reprint requests to: Jiying Zhou, MD, PhD, Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, 1st You Yi Road, Yu Zhong District, Chongqing 400016, China. Tel: 023-89012558; Fax: 023-8911487; E-mail: [email protected].Search for more papers by this author
First published: 07 February 2014
Citations: 3
Conflict of interest: The authors declare that there are no conflicts of interest.

Abstract

Objectives

The aim of this study was to investigate the clinical characteristics of primary stabbing headache (PSH) and its prevalence in a neurology outpatient center at a university hospital in China.

Methods

We surveyed patients via face-to-face interviews by physicians using a questionnaire for headache.

Results

Of 1,219 participating patients with headache, 18 (1.5%) were diagnosed with PSH. The mean age was 44.1 ± 15.5 years. The headaches were localized to a single fixed area in 61.1% of patients. The frontal cerebral regions were reported as most common areas. Fourteen patients (77.8%) suffered from moderate to severe intensity headache with a mean score of 4.3 ± 1.9 on an 11-point pain scale. Of the patients, 27.8% had accompanying symptoms with photophobia/phonophobia as the most common complaint(s). Fifty percent of patients reported trigger factors, with weather change noted as a common trigger.

Conclusion

PSH was shown to have an onset at middle age with moderate-to-severe intensity attacks localized predominantly within the first division of the trigeminal nerve. Accompanying phenomena and trigger factors were common and should be noted, implying further research to be conducted.

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