title: [Idiopathic icepick-like headache].
abstract: Two cases of idiopathic icepick-like headache are presented. This entity is clinically well defined but the appearance of accesses of intense, extremely brief pain commonly located at the same point in the territory of the first trigeminal branch followed at variable intervals and responding almost exclusively to treatment with indomethacin is little known. The appearance of pain crisis at regular intervals in one case lead to the differential diagnosis of cluster headache of a habitually different treatment: correct diagnosis requires a detailed account of the clinical characteristics of the pain with special emphasis on chronopathology.
authors.affiliation: Servicio de Neurología, Hospital General Vall d'Hebron, Barcelona.
authors.forename: A
authors.initials: A
authors.lastname: Molins
authors.forename: A
authors.initials: A
authors.lastname: Dávalos
mesh_terms: D000328:Adult; D003027:Cluster Headache / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006261:Headache / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged
chemical_list: D007213:Indomethacin
vernacular_title: Cefalea punzante idiopática.