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Related Experiment Video

Updated: Jan 26, 2026

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

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

Published on: June 2, 2014

Nummular Headache.

Danielle Wilhour¹, Claire E J Ceriani², Stephanie J Nahas²

¹Jefferson Headache Center, 900 Walnut Street, Suite 200, Philadelphia, PA, USA. danielle.wilhour@jefferson.edu.

Current Neurology and Neuroscience Reports

|April 19, 2019

Summary

This summary is machine-generated.

Nummular headache (NH) is a focal head pain disorder. Gabapentin is a recommended first-line treatment, with botulinum toxin as an alternative for refractory cases.

Keywords:

Circumscribed cephalalgia Coin-shaped headache Epicrania Nummular headache Primary headache

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Last Updated: Jan 26, 2026

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Area of Science:

Neurology
Headache Medicine

Background:

Nummular headache (NH) presents as focal, circumscribed head pain.
Pain is typically mild to moderate but can be severe or disabling.

Purpose of the Study:

Review current literature on nummular headache (NH).
Discuss epidemiological and clinical features.
Explore proposed pathophysiology and novel management strategies.

Main Methods:

Literature review of recent studies on NH.
Analysis of epidemiological data.
Evaluation of clinical presentations and treatment outcomes.

Main Results:

NH is a common primary headache disorder, with secondary causes also described.
Gabapentin is a recommended first-line preventive treatment.
Botulinum toxin is an effective alternative for refractory or poorly tolerated cases.

Conclusions:

Increased understanding of NH can improve patient outcomes.
Further clinical trials are needed to enhance knowledge of NH.
NH management requires exclusion of secondary causes.