Current Pain and Headache Reports

, Volume 11, Issue 4, pp 310–312

Nummular headache

  • Brian M. Grosberg
  • Seymour Solomon
  • Richard B. Lipton
Article

Abstract

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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References and Recommended Reading

  1. 1.
    Pareja JA, Caminero AB, Serra J, et al.: Nummular headache: a coin-shaped cephalalgia. Neurology 2002, 58:1678–1679.PubMedGoogle Scholar
  2. 2.
    Pareja JA, Pareja J, Barriga FJ, et al.: Nummular headache: a prospective series of 14 new cases. Headache 2004, 44:611–614.PubMedCrossRefGoogle Scholar
  3. 3.
    Headache Classification Subcommittee of the International Headache Society: The International Classification of Headache Disorders 2nd Edition. Cephalalgia 2004, 24(Suppl 1):1–160.Google Scholar
  4. 4.
    Evan RW, Pareja JA: Nummular headache. Headache 2005, 45:164–165.CrossRefGoogle Scholar
  5. 5.
    Trucco M, Mainardi F, Perego G, Zanchin G: Nummular headache: first Italian case and therapeutic proposal. Cephalalgia 2006, 26:354–356.PubMedCrossRefGoogle Scholar
  6. 6.
    Cohen GL: Nummular headache: what denomination? Headache 2005, 45:1417–1418.PubMedCrossRefGoogle Scholar
  7. 7.
    Dach F, Speciali J, Eckeli A, et al.: Nummular headache: three new cases. Cephalalgia 2006, 26:1234–1237.PubMedCrossRefGoogle Scholar
  8. 8.
    Mathew NT, Kailasam J, Meadors L: Nummular headache responds to botulinum toxin type a (BoNTA): experience in four cases. Cephalalgia 2006, 26:1378.Google Scholar
  9. 9.
    Seo M, Park S: Botulinum toxin in nummular headache. Cephalalgia 2005, 25:991.Google Scholar
  10. 10.
    Pareja JA: Nummular headache: what denomination? A rebuttal. Headache 2005, 45:1418.CrossRefGoogle Scholar
  11. 11.
    Fernandez-de-las-Penas C, Cuadrado ML, Barriga FJ, Pareja JA: Local decrease of pressure pain threshold in nummular headache. Headache 2006, 46:1195–1198.PubMedCrossRefGoogle Scholar
  12. 12.
    Fernandez-de-las-Penas C, Cuadrado ML, Barriga FJ, Pareja JA: Pericranial tenderness is not related to nummular headache. Cephalalgia 2007, 27:182–186.PubMedCrossRefGoogle Scholar
  13. 13.
    Garcia-Pastor A, Guillem-Mesado A, Salinero-Paniagua J, Gimenez-Roldan S: Fusiform aneurysm of the scalp: an unusual cause of focal headache in Marfan syndrome. Headache 2002, 42:908–910.PubMedCrossRefGoogle Scholar

Copyright information

© Current Medicine Group LLC 2007

Authors and Affiliations

  • Brian M. Grosberg
    • 1
  • Seymour Solomon
  • Richard B. Lipton
  1. 1.Montefiore Headache CenterBronxUSA

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