The use of etoricoxib to treat an idiopathic stabbing headache: a case report
The use of etoricoxib to treat an idiopathic stabbing headache: a case report
Abstract
According to the International Headache Society, idiopathic stabbing headache (ISH), an indomethacin-responsive headache syndrome, is a paroxysmal disorder of short duration manifested as head pain occurring as a single stab or a series of stabs involving the area supplied in the distribution of the first division of the trigeminal nerve. Stabs last for approximately a few seconds, occurring and recurring from once to multiple times per day in an irregular frequency, with no underlying attributable disorder.
Previously indomethacin was the principle treatment option for ISH, despite therapeutic failure in up to 35% of cases, until reports showed gabapentin, melatonin and selective cyclo-oxygenase-2 (COX-2) inhibitors were also possibly effective. In this report we present the full case report of an 88 year old lady with a history of untreated ISH where etoricoxib, a selective COX-2 inhibitor, was used to effectively treat her ISH.
Introduction
Idiopathic stabbing headache (ISH) was first described in 1964 by Lansche [1] and over the years in has been known by many synonyms, e.g. "ophthalmodynia periodica", "ice-pick headache syndrome" and "jabs and jolts". Recently it has been included as a separate entity in the classification of the International Headache Society (IHS) – "other primary headaches". [2]
ISH is a paroxysmal disorder manifested as transient painful stabs, predominantly or exclusively felt in the distribution of the ophthalmic division of the trigeminal nerve [3]. It has a life-time prevalence in the region of 2% [4] with onset primarily in middle or late stages of life (mean age of 47 years) [5] and a female preponderance. [5]
etoricoxib, idiopathic stabbing headache, International Headache Society, ISH, ophthalmodynia periodica,
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