Subsequent to reading Guerrero et al article entitled "Epicrania Fugax: Ten New Cases and Therapeutic Results",1 we were struck by the similarities encountered in some of our own patients, who complain of sudden, sharp shooting episodic pains on the vertex, lasting from a few seconds to a maximum of 30 seconds, with intense discomfort, occurring multiple times, mostly during daytime, and disappearing spontaneously, leaving the patient scared. We have come across 16 such patients in the headache clinic of our tertiary care hospital in the last 5 years. Such pains do not have any precipitating factors and occur spontaneously, without any associated symptoms or any post headache features. Often such headaches are seen in pediatric and adolescent populations, more so in school aged boys. Neurological examination is completely normal. Brain imaging (CT scan or magnetic resonance imaging [MRI]) of such patients does not show any abnormalities.
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