Neurology Medical News about headache; multiple sclerosis; primary stabbing headache

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Headaches in the different phases of relapsing-remitting multiple sclerosis: A tendency for stabbing headaches during relapses
The Neurologist, 07/13/09

Ergun U et al. – The high frequency of primary stabbing headaches (PSHs) in relapse was notable and not previously reported in relapsing-remitting multiple sclerosis.

Methods

Study to determine headaches using ICHD-II in different phases of relapsing-remitting multiple sclerosis
Evaluation of correlation between headaches and several disease features

Results

Most common headaches in remission: migraine (41.2%) and tension-type headaches (20.6%)
Most common in relapsing phase: primary stabbing headache (PSH) (27.8%)
Headaches independent of disease duration, extended disability status scale, Beck depression inventory scores, and treatments
Total number of headaches correlated with periventricular lesions
Tension-type headaches correlated with spinal lesions in remission
Total number of headaches correlated with brain stem lesions in relapsing phase

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