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Posted by Todd ( on November 12, 2000 at 08:29:56:

In Reply to: Help 3 y.o. with ice pick migraines posted by cherie on November 11, 2000 at 22:53:22:

Hi Cherie. My heart goes out to you and your son.

"Ice pick headaches" is the common name for CPH - Chronic Paroxsymal Hemicrania. Here are the defining characteristics:

Localized to one side of the head
High frequency, averaging 15 attacks per 24 hour period
Short duration - 2 to 25 minutes
May also be accompanied by ipsilateral (same side of the head) symptoms such as eye tearing, nasal congestion or running.

The absolute diagnosis of CPH rests on response to Indomethicin, which is believed to be 100% effective. In other words, if your son doesn't respond to the indo, he doesn't have CPH.

Indomethicin is available as capsules, extended release capsule, liquid and rectal suppositories.

Unfortunately, I don't know if indomethicin is approved for use by a child of 3. You'll need to check with your doc about that.

I hope you and your son find relief from this terrible affliction. Our thoughts are with you both.

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