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Related Experiment Video

Updated: Jun 25, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

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Published on: June 2, 2014

Nummular headache: a series with symptomatic and primary cases.

L C Alvaro1, J M García, E Areitio

  • 1Department of Neurology, Fondación Hospital Alcocrón, Alcocrón, Madrid, Spain. luiscarlos.alvarogonzalez@osakidetza.net

Cephalalgia : an International Journal of Headache
|February 18, 2009
PubMed
Summary

Nummular headache (NH) can be primary or secondary to underlying conditions. This study highlights four cases, emphasizing the need to investigate tiny skull lesions and preceding events for accurate diagnosis and treatment.

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Area of Science:

  • Neurology
  • Pain Medicine
  • Headache Disorders

Background:

  • Nummular headache (NH) is characterized by localized, circumscribed head pain.
  • It is a chronic condition often presenting with exacerbations and remissions.

Observation:

  • Four cases of nummular headache were analyzed.
  • Two cases were secondary: one linked to a benign skull lesion, another post-pituitary adenoma surgery.
  • Two cases were primary NH, one co-occurring with migraine, the other with chronic tension-type headache.

Findings:

  • Secondary nummular headache may arise from structural lesions or post-surgical complications.
  • Primary nummular headache can be associated with other headache disorders.
  • Treatment response for both primary and secondary NH was generally poor.

Implications:

  • This study suggests secondary forms of nummular headache may coexist with primary NH.
  • Highlights the importance of advanced imaging (MRI) to detect subtle underlying lesions.
  • Emphasizes careful evaluation of preceding events and potential central/peripheral pathway involvement in NH pathogenesis.