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Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line
Published on: September 13, 2024
Nummular headache in a patient with ipsilateral occipital neuralgia--a case report
Piotr Iwanowski1, Wojciech Kozubski2, Jacek Losy1
1Department of Neurology, University of Medical Sciences, Poznań, Poland; Department of Clinical Neuroimmunology, Chair of Neurology, University of Medical Sciences, Poznań, Poland.
Abstract:
Nummular headache (NH) is a rarely recognized primary headache, the diagnostic criteria of which are contained in the appendix to the 2nd edition of the International Classification of Headache Disorders (code A13.7.1). We present the case of a 61-year-old female who suffers, regardless of NH, from right-sided occipital neuralgia. The applied treatment - gabapentin and mianserin - had no effect. Injection of bupivacaine twice to the right occipital region resulted in neuralgia resolution up to three months, with no effect on NH. This confirms the independence of two above mentioned head pain conditions.
