Nummular headache with and without exacerbations: Comparative characteristics in a series of 72 patients*

Abstract

In situ exacerbations superimposed on baseline pain are frequent in NH and might be included in diagnostic criteria. No statistically significant differences were found between ENH and NENH cases in demographic and nosological characteristics, or needing or response to therapy, but these sample sizes are small.

Nummular Headache and Epicrania Fugax: Possible Association of Epicranias in Eight Patients: Table 1

“…We believe that there is some connection in the pathogenesis of both NH and EF, which probably share a peripheral source. Interestingly, all these patients had in situ exacerbations at the stemming point . Perhaps NH with in situ exacerbations is more likely to be associated with EF.…”

“…It is defined as a focal pain that remains circumscribed to a small round or elliptical area of the head, typically 1–6 cm in diameter and frequently located in the parietal region . The pain is generally mild or moderate, but there may be superimposed exacerbations that always begin and conclude in situ . Exacerbations have been found in more than half of the painful areas, with no demographic or other clinical differences in comparison with the cases without exacerbations .…”

“…The pain is generally mild or moderate, but there may be superimposed exacerbations that always begin and conclude in situ . Exacerbations have been found in more than half of the painful areas, with no demographic or other clinical differences in comparison with the cases without exacerbations . Rarely, the pain may be localized in two or more separate areas in the same patient .…”

“…As we searched for a novel headache syndrome, we took special care not to induce false answers during the interviews. The clinical features of some of these cases have already been published .…”

“…The pain is usually mild or moderate, and may be either continuous or intermittent. Not infrequently, there are in situ exacerbations superimposed to the baseline pain .…”