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Nummular headache update.

Daniel P Schwartz1, Matthew S Robbins, Brian M Grosberg

  • 1Montefiore Headache Center, Department of Neurology, Albert Einstein College of Medicine, 1575 Blondell Avenue, Suite 225, Bronx, NY 10461, USA.

Current Pain and Headache Reports
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Summary
This summary is machine-generated.

Nummular headache presents as distinct head pain in a fixed area. This review covers its epidemiology, features, and management, including treatments like gabapentin.

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Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Nummular headache (NH) is a rare disorder.
  • Characterized by focal, well-circumscribed head pain (2-6 cm).
  • Typically unilateral, side-locked, often in the parietal region.

Purpose of the Study:

  • To review the epidemiology, clinical features, pathogenesis, differential diagnosis, and management of nummular headache.
  • To synthesize findings from over 250 reported cases.

Main Methods:

  • Literature review of nummular headache cases.
  • Analysis of epidemiological data.
  • Discussion of clinical presentation and treatment options.

Main Results:

  • Pain is pressure-like, sharp, or stabbing, mild to moderate intensity.
  • Sensory disturbances (hyperesthesia, allodynia) are common.
  • Episodic or chronic temporal patterns observed; rare bifocal/multifocal cases.

Conclusions:

  • Nummular headache has distinct clinical features.
  • Gabapentin, tricyclic antidepressants, and botulinum toxin show potential therapeutic benefits.
  • Further understanding of pathogenesis and management is ongoing.