Transitional Interpersonality Thunderclap Headache
Article first published online: 20 DEC 2001
Headache: The Journal of Head and Face Pain
Volume 41, Issue 3, pages 317–320, March 2001
How to Cite
Jacome, D. E. (2001), Transitional Interpersonality Thunderclap Headache. Headache: The Journal of Head and Face Pain, 41: 317–320. doi: 10.1046/j.1526-4610.2001.111006317.x
- Issue published online: 20 DEC 2001
- Article first published online: 20 DEC 2001
- Accepted for publication October 30, 2000.
- multiple personality disorder;
- thunderclap headache
Objective.—To report a patient with multiple personality disorder who experienced severe acute headaches without warnings, solely during the transition between her host personality and her pain-prone personality.
Background.—The initial detailed description of headache in multiple personality disorder was made by Packard and Brown and published in this journal 15 years ago.
Methods.—Clinical history, neurologic examination, electroencephalogram, and brain magnetic resonance imaging.
Results.—A 54-year-old Holocaust survivor with an established diagnosis of multiple personality disorder had recurrent, excruciating, acute (“thunderclap”) headaches only when switching between her domineering personality and her pain-prone personality, who suffered from chronic back pain. None of her personalities otherwise suffer from headaches. Electroencephalogram and brain magnetic resonance imaging were normal.
Conclusion.—This is an independent and current confirmation of the existence of transitional headaches in a patient with multiple personality disorder. They may occur as an isolated event during the switch process and have features of benign thunderclap headache.