Pseudo-spinal headache.
OBJECTIVE
Myofascial trigger points are often not considered in the differential diagnosis of headaches.


METHODS
A patient who presented with severe bifrontal headaches was treated by injections of the sternocleidomastoid muscle trigger points with local anesthetics.


RESULTS
The patient experienced complete resolution of all symptoms, which had not reappeared after 14 months.


CONCLUSIONS
Myofascial pain may mimic other disorders, and myofascial headaches can be easily treated once properly diagnosed.
Dunteman
E
E
Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Turner
M S
MS
Swarm
R
R
D000328:Adult; D000779:Anesthetics, Local / Q000627:therapeutic use; D002045:Bupivacaine / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006261:Headache / Q000175:diagnosis* / Q000188:drug therapy*; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use; D008297:Male; D009209:Myofascial Pain Syndromes / Q000175:diagnosis* / Q000188:drug therapy*
D000779:Anesthetics, Local; D008012:Lidocaine; D002045:Bupivacaine