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Department of Neurology, University of California, San Francisco.
The incidence and clinical characteristics of sharp, jabbing pain about the head were studied in 100 migraineurs and 100 control subjects. Among the controls, 3% had experienced paroxysmal sharp cranial pain, whereas 4% of the migraineurs had made this observation (p
0.001) and half of them experienced it more often than monthly. The pain was usually (45%) unifocal at the temple or orbit, was described as icepick-like by 52% of the patients, and was often (6%) experienced concurrently with headache. Icepick-like pain appears to be a manifestation of migraine and should be distinguished from trigeminal neuralgia.
Address correspondence and reprint requests to Dr. Raskin, Department of Neurology, University of California, San Francisco, CA 94143.
Accepted for publication July 3, 1979
Presented at the thirty-first annual meeting of the American Academy of Neurology, Chicago, IL, April 1979.
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