How do you diagnose and manage patients with hypnagogic shooting headache?

Topics: Neurology • Headache

What are the diagnosis and treatment for hypnagogic shooting headache?

Answer from: at Community Practice

Hypnagogic stabbing headache is not an entity. Hypnic headache is and so is stabbing headache. We diagnose both conditions based on the history. Hypnic headache resembles cluster headache, except that the headaches are bilateral. If they last (significantly) longer than 1-2 hours, the proper diagnos...

Comments

at University of Minnesota
Even though I am a Neurologist, I have been unsucc...

at Baylor College of Medicine
Excellent response. Agree with trying Indomethacin...

at Hendricks Neurology
Thank you Dr. @Spierings. The patient's headache i...

at Greater Boston Headache Center at Boston Advanced Medicine
Dr. @Li, if the stabbing headache at night is a co...

at UPMC
Thanks very helpful to all!

Answer from: at Community Practice

I treated a patient with nocturnal migraines with bilateral occipital nerve blocks. He had no headache for 12 weeks. Headaches were in bilateral occiput, radiating to the top, with nausea, phono photophobia, lasting hours, without autonomic features, at 3 am, 2-7 days a week. He was on Verapamil for...

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at The Neuron Clinic
With or without steroids?

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