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Keywords:

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

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.