Subcutaneous Sumatriptan in the Treatment of Acute Episodes of Posttraumatic Headache

doi:10.1111/j.1526-4610.1993.hed3302096.x

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Wiley InterScience

Headache: The Journal of Head and Face Pain

Volume 33 Issue 2, Pages 96 - 97

Published Online: 19 May 2005

Published on behalf of the American Headache Society

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Subcutaneous Sumatriptan in the Treatment of Acute Episodes of Posttraumatic Headache

Marek J. Gawel , M.D. ¹ Peter Rothbart , M.D. ² Howard Jacobs , LRCP & SI.2 ²

¹ Sunnybrook Health Science Center, University of Toronto, 2075 Bayview Avenue, B. Wing 4th Floor E 425, Toronto Ont Canada, M4N 3M5 ² Whiplash and Headache Clinic, Inc., 16 York Mills Centre, Unit ♯M 12/113 Box 129, North York, Ont Canada, M2P 2C2

Correspondence to Marek J. Gawel, M.D., Sunnybrook Health Science Center, University of Toronto, 2075 Bayview Avenue, B. Wing 4th Floor E 425, Toronto Ont Canada, M4N 3M5

KEYWORDS

posttraumatic headaches • occipital steroid blocks • sumatriptan • neurogenic inflammation • vascular structures • throbbing temporal component

ABSTRACT

SYNOPSIS

Seven patients with posttraumatic headaches refractory to other medical treatment were treated with sumatriptan, 6 mg subcutaneously, at the peak of a headache. In all, the throbbing temporal part of the headache disappeared leaving a persistent occipital pain. It is postulated that involvement of the trigeminovascular system is involved in part of the pain of posttraumatic headache, making it amenable to treatment with sumatriptan.

Accepted for publication: October 3, 1992

DIGITAL OBJECT IDENTIFIER (DOI)

10.1111/j.1526-4610.1993.hed3302096.x About DOI