Epicrania fugax (EF)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Epicrania fugax (EF). Primary, Medullary lesions, Wallenberg’s syndrome, Skull based radiotherapy. Fully referenced neurology checklist.

Causes

  • Primary
  • Medullary lesions
  • Wallenberg’s syndrome
  • Skull based radiotherapy
  • Cerebellar abscess
  • Acute subdural hematoma
  • Vertebral metastasis
  • Chiari malformation with cervical syrinx
  • Posterior fossa tuberculoma

Clinical features

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Associated ipsilateral autonomic features

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Psychiatric co-morbidities

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Variants of epicrania fugax

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Treatment

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References

  1. Guerrero AL, Cuadrado ML, Porta-Etessam J, et al. Epicrania fugax: ten new cases and therapeutic results. Headache 2010; 50:452-458.
  2. Mulero P, Guerrero AL, Herrero-Velazquez, et al. Epicrania fugax with backward radiation: clinical characteristics of nine new cases. J Headache Pain 2011; 12:535-539.
  3. Pareja JA, Cuadrado ML, Fernandez-de-la-Penas C, et al. Epicrania fugax: an ultrabrief paroxysmal epicranial pain. Cephalalgia 2008; 28:257-263.
  4. Rammohan K, Shyma MM, Das S, Shaji CV. Clinical features and psychiatric comorbidity of epicrania fugax. J Neurosci Rural Pract 2018; 9:143-148. 
  5. Gutti NB, Mahajan R, Singh V, Paliwal VK. Positional trigger of epicrania fugax may suggest a secondary headache: report of four cases. Cephalalgia Reports 2024; 7.
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