Nummular headache and pituitary lesion: A case report and literature review

Chui, Chi; Chen, Wei Hsi; Yin, Hsin Ling

doi:10.4103/0972-2327.112475

Cited by 11 publications

(7 citation statements)

References 12 publications

(25 reference statements)

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“…In an extensive case series, Cuadrado and his colleagues reported that nummular headache was associated with a local increase in pain sensitivity to mechanical stimulation (reduced pressure pain thresholds [PPTs]) confined to the symptomatic area [14]. Although the pain is asserted to originate from epicranial tissues including the skull, scalp, vessels, and nerves [15–17], some nummular headaches have been described as “symptomatic nummular headaches”, which implies that they might be secondary to underlying structural lesions or other causes, such as subtentorial meningioma [10], pituitary lesion [18], or arachnoid cysts [19]. These observations represent the secondary form of nummular headache.…”

Section: Discussionmentioning

confidence: 99%

First three cases of scalp temperature change in symptomatic areas affected by nummular headache: a case report

Liu

Wei

2018

BMC Neurol

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BackgroundNummular headache is a distinct headache disorder characterized by a rounded or elliptical symptomatic area that is typically 2 to 6 cm in diameter and does not change in shape or size with time. Although the pathomechanism is still not clear, nummular headache is thought to be a primary headache disorder. To date, more than 250 cases have been reported; the symptoms of this disease vary, but no cases with scalp temperature changes in the symptomatic areas have been reported yet. In this study, we present three patients with a new manifestation of nummular headache, in which the symptomatic areas of the scalp were colder or warmer than normal areas; we believe that our work might be helpful for medical practitioners and researchers.Case presentationThe temperature differences between the symptomatic areas and the normal areas were tested in three patients with nummular headache accompanied by changes in scalp temperature. Three patients’ symptomatic areas were either colder or warmer than the normal areas. In every case, we took measurements from the painful site and from the opposite side of the head. The margin of error was 0.01 °C, and the difference was statistically significant (P < 0.01).ConclusionWe firmly believe that our study will provide an enriched understanding of the variation in clinical manifestations of nummular headache. Our observations might also have clinical implications regarding the pathomechanism of this disease, which remains largely unclear at present.

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Section: Discussionmentioning

confidence: 99%

First three cases of scalp temperature change in symptomatic areas affected by nummular headache: a case report

Liu

Wei

2018

BMC Neurol

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“…In addition to spontaneous pain, there may be sensory disturbances in the affected area. The description given for these disturbances is diverse, but in one form or another they can be found in many cases of NH (1,4,6,(10)(11)(12)(13)(14)16,(20)(21)(22)(23)(24)(25)(26)(27)29,31,35,39,41,42,47,48,51,53,(57)(58)(59)(60)(63)(64)(65)(66). In one of the largest series, sensory symptoms or signs were detected in more than 40% of cases (33).…”

Section: Clinical Featuresmentioning

confidence: 99%

Epicranial headaches part 2: Nummular headache and epicrania fugax

Cuadrado

2023

Cephalalgia

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Background Nummular headache and epicrania fugax are two primary headaches that fall under the heading of epicranial headaches. Methods This article reviews the epidemiological and clinical features of nummular headache and epicrania fugax, proposed pathogenic mechanisms and state-of-the-art management, according to the literature. Results and conclusions Nummular headache and epicrania fugax are generally viewed as rare headache disorders, but no population-based epidemiological data are available. Nummular headache is characterized by continuous or intermittent head pain, which remains circumscribed in a round or oval area of the scalp, typically one to six centimeters in diameter. Epicrania fugax manifests with brief paroxysms of pain that move along the surface of the head, following a linear or zigzag trajectory through different nerve territories. Nummular headache and epicrania fugax are mostly primary headaches, but some secondary cases have been reported. The pathogenesis of these headaches is not fully understood. Nummular headache could probably originate in epicranial tissues or adjacent intracranial structures, while the origin of epicrania fugax could be extracranial or intracranial. Diagnostic assessment requires careful examination of the symptomatic areas. Underlying disorders should be excluded by additional investigations, including neuroimaging and appropriate blood tests. No controlled clinical trials have been conducted in nummular headache or epicrania fugax. Analgesics and anti-inflammatory drugs, botulinum toxin and gabapentin are currently the most recommended treatment options for nummular headache. In epicrania fugax, the most used treatments are gabapentin, lamotrigine, and other antiseizure medications.

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“…Iako može koegzistirati sa drugim primarnim glavoboljama, ona ima sopstvene karakteristike i nezavistan tok. (4). Pogođeno područje najčešće pokazuje razne kombinacije simptoma kao što su :hipestezije, dizestezije, parestezije, alodinije i/ili osetljivosti.…”

Section: Prikaz Slučajaunclassified

“…Naš prikaz pokazuje da postoje značajne diferencijalno dijagnostičke poteškoće koje su vezane za još jedan klinički entitet dermatološke geneze. U literaturi Numularna glavobolja nije retka pojava i opisani su slučajevi različitih precipitirajućih događaja, među kojima prednjači trauma glave (6,8), strukturne lezije, virusne infekcije (7), dermatološke lezije… (9) Lichen planopilaris (LPP) je posebna forma lichen planus-a (LP) lokalizovanog na područjima kože obraslim dlakom, pre svega, u kapilicijumu, koja može da izazove ireverzibilnu cikatrijalnu, tj. ožiljnu alopeciju.…”

Section: Prikaz Slučajaunclassified

Differential diagnosis distinction of nummular headache and Lichen planopilaris

Filipović-Danić,

Mitrović,

Milošević

et al. 2022

Praxis medica

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Introduction: Nummular headache is a type of primary headache of chronic character, with a large number of described varieties in the clinical picture, and therefore the differential diagnostic consideration must include a large number of disorders related to changes in epicranial structures. Certain dermatological disorders can also include pain in a limited area of the scalp with itching, burning or burning sensation, such as Lichen Planopilaris. Case report: This is a report of a patient who was initially diagnosed with Lichen planopilaris, but after determining the parameters of the distinction and the necessary additional diagnostic procedures, a diagnosis of Nummular headache was made. Conclusion: In this presentation, we have presented another important differential diagnostic item and we believe that the work is a small contribution to everyday practice, but also to further research.

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Nummular headache and pituitary lesion: A case report and literature review

Cited by 11 publications

References 12 publications

First three cases of scalp temperature change in symptomatic areas affected by nummular headache: a case report

First three cases of scalp temperature change in symptomatic areas affected by nummular headache: a case report

Epicranial headaches part 2: Nummular headache and epicrania fugax

Differential diagnosis distinction of nummular headache and Lichen planopilaris

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