Nummular Headache: What Denomination? A Rebuttal

Pareja, Juan A.

doi:10.1111/j.1526-4610.2005.00278_2.x

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Some think that the pain stems from a peripheral source, probably from any of the epicranial tissues, including the skull, all layers of the scalp, vessels, and nerves [10]. Recent evidence suggests that nummular headache may be associated with a local increase of pain sensitivity to mechanical stimulation within the symptomatic area [11].…”

Section: Pathogenesismentioning

confidence: 99%

Nummular headache

Grosberg

Solomon²,

Lipton³

2007

Current Science Inc

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Nummular headache is a rare primary headache disorder characterized by focal and well-circumscribed pain fixed within a round-, oval-, or elliptical-shaped region of the head. The pain is usually mild to moderate in intensity but may be severe. Nummular headache is most common in women in the fourth to fifth decade of life. The temporal pattern may be chronic and continuous since onset, chronic evolved from episodic, or episodic. These headaches typically are unilateral, side-locked, and fixed in location, commonly affecting the parietal region. Many patients experience superimposed exacerbations of pain, lasting from seconds to days. Sensory phenomena, such as paresthesias, allodynia, and dysesthesias, are frequently reported in the region of the pain. Treatment with gabapentin, tricyclic antidepressants, or botulinum toxin may be helpful.

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Section: Pathogenesismentioning

confidence: 99%

Nummular headache

Grosberg

Solomon²,

Lipton³

2007

Current Science Inc

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“…Proper terminology for circumscribed pains on the scalp is controversial (8). The term epicrania has been proposed, implying pains stemming peripherally (9).…”

Section: Discussionmentioning

confidence: 99%

Nummular Headache Secondary to An Intracranial Mass Lesion

2007

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Nummular Headache Update

Schwartz

Robbins

Grosberg

2013

Curr Pain Headache Rep

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Nummular headache (NH) is a rare headache disorder characterized by focal and well-circumscribed pain fixed within a rounded or oval/elliptical-shaped area of the head, typically 2 to 6 cm in diameter (Grosberg et al. Curr Pain Headache Rep 11:310-2, 2007). The disorder most commonly affects the parietal region and is almost always unilateral and side-locked. The pain is typically characterized as pressure-like, sharp, or stabbing and is usually mild to moderate in intensity. Many patients experience superimposed exacerbations of pain, lasting from seconds to days (Grosberg et al. Curr Pain Headache Rep 11:310-2, 2007). Distortions of sensation including hyperesthesia, hypoesthesia, allodynia, and paresthesias are frequently reported in the affected area. The temporal pattern may be episodic or chronic. Rarely, the disorder may be bifocal or multifocal, affecting various regions of the head simultaneously or in sequence. Treatment with gabapentin, tricyclic antidepressants, or botulinum toxin may be helpful. In this review of the more than 250 cases now reported in the literature, the epidemiology, clinical features, pathogenesis, differential diagnosis, and management of this disorder are discussed.

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Nummular Headache: What Denomination? A Rebuttal

Cited by 3 publications

References 6 publications

Nummular headache

Nummular headache

Nummular Headache Secondary to An Intracranial Mass Lesion

Nummular Headache Update

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