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J Headache Pain. 2011 Jun;12(3):373-5. doi: 10.1007/s10194-011-0303-y. Epub 2011 Feb 5.

Transient stabbing headache from an acute thalamic hemorrhage.

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  • 1Montefiore Headache Center, The Saul R. Korey .


Stabbing headache can be encountered in both primary and secondary forms, but has been infrequently reported among patients with stroke, and is not known to be associated with a small well-circumscribed brain lesion. A 95-year-old woman taking warfarin presented with the sudden onset of stabbing headache strictly in the right frontal and supraorbital regions, along with gait imbalance and dysarthria. Neuroimaging revealed a small left thalamic hematoma. This association of an acute thalamic lesion with stabbing headache in the contralateral trigeminal distribution is discussed, along with a brief review of stabbing headache occurring in cerebrovascular disease.

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