Could Stabbing Type of Headache in Multiple Sclerosis Be A Sign of MS Relapse?

OBJECTIVE: Multiple sclerosis (MS), which is a demyelinating disorder of central nervous system, is characterized by several neurological symptoms. Altough it has been reported that headache is a common symptom in MS, there is not enough knowledge about headache as a presenting symptom or a sign of MS relapse. Migraine headache is common in MS patients, but the cause of this comorbidity is still unknown. MS lesions located in brain stem are known to be the cause of migraine headaches. Idiopathic stabbing headache is a short lasting, transient and localised stabs of pain in the head that responds to indomethacin therapy. There is no report about the frequency or being a sign of relapse of stabbing type of headache in MS patients. In this article, we present four MS patients with stabbing headaches and it has been concluded that stabbing headache may be a sign of MS relapse

Neck Tongue Syndrome; Started During Childhood and Still Existing

A sydrome, unilateral upper nuchal or occipital pain with or without numbness in these areas, accompanied by simultaneous ipsilateral numbness of the tongue is explicable by compresion of the second cervical root in the atlantoaxial space on sharp rotation of the neck as published justly by Lance JW and Anthony M in 1980. Since then totaly few papers were published about this syndrome. The patient is 15 years old girl and she has been suffering from ipsilateral numbness and pain on the neck and tongue during sharp rotation of the neck for ten years. She has no history of neck travma. In this case report we discussed rarely seen neck tongue syndrome patien