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[Nummular headache: case report]
Paulo Helio Monzillo1, Mario Moraes Lima Neto, Wilson L Sanvito
1Irmandade da Santa Casa de Misericórdia de São Paulo, Brazil. monzillo@einstein.br
Arquivos De Neuro-Psiquiatria
|October 12, 2004
Summary
Nummular headache, a coin-shaped cephalalgia, presents as a chronic primary headache. This case report highlights its characteristics and discusses differential diagnoses for neurologists and pain specialists.
Area of Science:
- Neurology
- Pain Medicine
Background:
- Nummular headache, or coin-shaped cephalalgia, was first described in 2002.
- It is characterized by a chronic course with circumscribed, coin-shaped or elliptic pain areas.
Observation:
- This report details the first described case of nummular headache in the country.
- The patient's clinical features align with the original series described by Pareja et al.
Findings:
- The headache presents as distinct periods of pain interspersed with pain-free intervals, often occurring daily during bouts.
- Association with other primary headaches or cranial trauma was noted, but not consistently.
Implications:
- This case aims to raise awareness among neurologists and pain specialists about this unusual headache disorder.
- Discussing differential diagnoses is crucial for accurate identification and management of nummular headache.