Frequent migraine and migraine status without tension-type headaches: an unusual presentation of rebound headaches.
Rebound headaches usually present as daily or almost daily, prolonged, generalized tension-type headaches with superimposed migraine-like attacks. The latter are more frequent, more intense, and longer than any episodic migraine that the patient might have experienced prior to the development of the chronic daily headaches. Rebound presenting as migraine without tension-type pain has been mentioned in a few previous articles on chronic daily headache, but there have been no previous articles stressing that frequent migraine might relate to the analgesics that are being used. These case histories are presented to illustrate that frequent migraine and migraine status without tension-type headaches may be manifestations of rebound and improve when the offending analgesic agents are stopped. If the clinician fails to recognize this unusual presentation of rebound headache, the patient might be placed on unnecessary and often ineffective medications for prophylaxis instead of stopping the offending pain relief medications.
Warner
J S
JS
Department of Neurology, Vanderbilt University School of Medicine, Nashville, TN, USA. john.warner@vanderbilt.edu
D000328:Adult; D000700:Analgesics / Q000009:adverse effects* / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006261:Headache / Q000139:chemically induced*; D006801:Humans; D008297:Male; D008881:Migraine Disorders / Q000188:drug therapy; D013375:Substance Withdrawal Syndrome / Q000175:diagnosis*; D018781:Tension-Type Headache
D000700:Analgesics