Anything but a shocking solution – the effectiveness of Cefaly® in non-migrainous headache

Authors

  • Pedro André Kowacs Federal University of Paraná
  • Paulo Sergio Faro Santos Neurological Institute of Curitiba
  • Elcio Juliato Piovesan Federal University of Paraná
  • Helio Afonso Ghizoni Teive Federal University of Paraná

DOI:

https://doi.org/10.48208/HeadacheMed.2017.22

Keywords:

Headache, Non-migrainous headache, Cefaly, Transcutaneous supraorbital nerve stimulation

Abstract

Background: The transcutaneous supraorbital nerve stimulation with the Cefaly® device has demonstrated safety and efficacy for the prevention of episodic migraine. However, there isn't description of its efficacy in other headaches. Case report: A 78-year-old man was seen because of a 55-year history of daily headache. His medical history revealed Parkinson's disease, dyslipidemia and mild cognitive impairment. Physical examination revealed bradykynesia and asymmetric resting tremor of both arms, the right more affected than the left. There was mild pain on palpation of both upper trapezius muscles adjacent to the occipital bone. Cervical spine X-ray, CT and MRI: no findings. Various therapeutic approaches were done, but without success, so it was decided to prescribe Cefaly®. At his three-month follow-up, he reported an improvement of about 80%. Conclusion: The case described here shows that Cefaly® may be effective in headaches other than migraine.

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Author Biographies

Pedro André Kowacs, Federal University of Paraná

Neurologist, Coordinator of the Headache Outpatient Clinic and Medical Residency in Pain Medicine,
Neurology Division, Internal Medicine Department, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil

Head of the Neurology Division, Neurological Institute of Curitiba, Curitiba, Brazil

Paulo Sergio Faro Santos, Neurological Institute of Curitiba

Neurologist, Head of Headache and Orofacial Pain Clinic, Neurology Division, Neurological Institute of Curitiba, Curitiba, Brazil

Elcio Juliato Piovesan, Federal University of Paraná

Neurologist, Assistant Professor of Internal Medicine, Faculty of Medicine, Federal University of Paraná, Curitiba, Brazil

Helio Afonso Ghizoni Teive, Federal University of Paraná

Neurologist, Associate Professor of Neurology, Faculty of Medicine, Federal University of Paraná, Curitiba, Brazil

Coordinator, Movement Disorders Outpatient Clinic, Neurology Division, Internal Medicine Department, Hospital de Clínicas, Federal University of Paraná, Curitiba, Brazil

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Published

31/12/2017

How to Cite

1.
Kowacs PA, Santos PSF, Piovesan EJ, Teive HAG. Anything but a shocking solution – the effectiveness of Cefaly® in non-migrainous headache. HM [Internet]. 2017 Dec. 31 [cited 2021 Sep. 26];8(4):138-9. Available from: https://headachemedicine.com.br/index.php/hm/article/view/269

Issue

Section

Case Report

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