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Pseudo-spinal Headache
  1. Edwin Dunteman, M.D., M.S.,
  2. Steven Turner, M.D. and
  3. Robert Swarm, M.D.
  1. Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri
  1. Reprint requests: Edwin Dunteman, M.D., Department of Anesthesiology, Washington University School of Medicine, Box 8054, 660 South Euclid, St. Louis, MO 63110.


Background and Objectives Myofascial trigger points are often not considered in the differential diagnosis of headaches.

Methods A patient who presented with severe bifrontal headaches was treated by injections of the sternocleidomastoid muscle trigger points with local anesthetics.

Results The patient experienced complete resolution of all symptoms, which had not reappeared after 14 months.

Conclusions Myofascial pain may mimic other disorders, and myofascial headaches can be easily treated once properly diagnosed.

  • headaches
  • myofascial trigger points
  • sternocleidomastoid muscle

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