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[Nummular headache: 21 new cases and therapeutic results]
Kai-yun Zhu1, Yan Huang, Shui-sheng Zhong
1Department of Neurology, Guangdong 999 Brain Hospital, Guangzhou 510510, China. kaiyun1962@163.com
Zhonghua Yi Xue Za Zhi
|December 17, 2008
Summary
Nummular headache (NH) is not rare in China. Effective treatments for nummular headache include acupuncture or a combination of amitriptyline with indomethacin, ibuprofen, or carbamazepine.
Area of Science:
- Neurology
- Clinical Medicine
Context:
- Nummular headache (NH) is a primary headache disorder characterized by localized head pain.
- Understanding the clinical features and treatment efficacy of NH is crucial for patient management.
Purpose:
- To evaluate the clinical characteristics of nummular headache (NH) patients in China.
- To assess the effectiveness of various treatments for NH.
Summary:
- A study analyzed 21 nummular headache patients in China, detailing their demographics, pain location (circular or elliptical areas in parietal, occipital, temporal regions), pain intensity, and headache characteristics (stabbing, sharp, pulsating, exploding).
- Treatment outcomes varied: local nerve blocks provided temporary relief for one patient. Acupuncture combined with amitriptyline was effective for one patient. Carbamazepine and amitriptyline gradually relieved pain in another. Combination therapy with amitriptyline and indomethacin or ibuprofen was effective in 8 patients. Nimodipine was effective for one patient. Some treatments were ineffective or patients were lost to follow-up.
Impact:
- This study highlights that nummular headache is not uncommon and suggests potential therapeutic strategies.
- Findings indicate that acupuncture or specific pharmacotherapy combinations (e.g., amitriptyline with NSAIDs or carbamazepine) can be effective for managing nummular headache.
