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

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...

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...