Abstract
Purpose of Review
The purpose of this manuscript is to shed light on systematic work-up of a diagnostic challenge such as nummular headache (NH), and to summarize the relevant literature on NH.
Recent Findings
The specific nature of the shape of the pain site is usually characteristic of NH. Multiple modalities of investigation including succinct imaging are necessary to successfully rule out other similar conditions.
Summary
A 26-year-old female patient of Asian-Indian origin presented to the clinic with the chief complaint of chronic persistent left parietal headache for more than 10 years, which has been worsening over the past few days with no specific identifiable trigger. The diagnosis of nummular headache is challenging and confusing due to the rare occurrence and inadequate references in the literature. Appropriate imaging was done, which revealed no pathology that could explain the headache presentation. These findings are consistent with our diagnosis of nummular headache, and helped in the successful management of the case.
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Data Availability
Data included the patient’s history, test results, and clinical notes.
References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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Thomas, D.C., Heir, G.M., Patil, A.G. et al. Nummular Headache - a Case Report of a Rare Entity. Curr Pain Headache Rep 24, 71 (2020). https://doi.org/10.1007/s11916-020-00901-8
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DOI: https://doi.org/10.1007/s11916-020-00901-8