Managing external cold-stimulus headache with preventive naproxen. (2nd April 2020)

• Record Type: Journal Article
• Authors: Khoo, Anthony; Kiley, Michelle; Goadsby, Peter J
• Is Part Of: Cephalalgia reports. Volume 3(2020)
• Publication Date: 2020-04-02
• Subjects: clinical neurology history -- cold-stimulus headache; Headache -- Periodicals; Headache -- Treatment -- Periodicals; 616.8491
• DOI: 10.1177/2515816320915696
• Languages: English
• ISSNs: 2515-8163

Abstract

The management of external cold-stimulus headache has previously focused on trigger avoidance, which can be an impractical and sometimes impossible solution. We describe the case of a 20-year-old woman who presented with a typical example of external cold-stimulus headache, and in whom a preventive regime of naproxen taken 30 min prior to cold exposure was associated with reliable prevention of cold-induced headache symptoms. This could be an effective strategy for managing patients with cold-stimulus headache for whom cold triggers cannot be avoided.