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Nummular headache.

Brian M Grosberg1, Seymour Solomon, Richard B Lipton

  • 1Montefiore Headache Center, Bronx, NY 10461, USA. bgrosber@montefiore.org

Current Pain and Headache Reports
|August 10, 2007
PubMed
Summary
This summary is machine-generated.

Nummular headache is a rare primary headache causing distinct, fixed head pain. This condition, more common in middle-aged women, may involve sensory disturbances and can be treated with certain medications.

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Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Nummular headache is a rare primary headache disorder.
  • It is defined by focal, well-circumscribed pain in a fixed head region.

Observation:

  • The pain is typically mild to moderate, but can be severe.
  • It predominantly affects women aged 40-50.
  • Headaches are unilateral, fixed, and often in the parietal region.

Findings:

  • Temporal patterns include chronic, chronic evolved, or episodic.
  • Patients frequently report sensory phenomena like paresthesias and allodynia.
  • Pain exacerbations can range from seconds to days.

Implications:

  • Nummular headache diagnosis requires careful clinical evaluation.
  • Potential treatments include gabapentin, tricyclic antidepressants, and botulinum toxin.
  • Further research may elucidate underlying mechanisms and optimize therapeutic strategies.