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Nummular Headache - a Case Report of a Rare Entity
Davis C Thomas1, Gary M Heir2, Amey G Patil3
1Center for TMD and Orofacial Pain, Rutgers School of Dental Medicine, Newark, NJ, USA. davisct1@gmail.com.
Current Pain and Headache Reports
|October 13, 2020
Summary
Nummular headache (NH) diagnosis is challenging due to its rarity. This case highlights the importance of systematic work-up and imaging to rule out other conditions and manage NH effectively.
Area of Science:
- Neurology
- Diagnostic Medicine
Background:
- Nummular headache (NH) presents a diagnostic challenge due to its rarity and limited literature.
- A systematic approach is crucial for accurate diagnosis and management of NH.
Observation:
- A 26-year-old female presented with a decade-long history of chronic, worsening left parietal headache.
- The headache's specific shape and location were characteristic, yet initial investigations revealed no underlying pathology.
Findings:
- Diagnostic imaging ruled out other conditions, supporting the diagnosis of nummular headache.
- The characteristic pain presentation aided in confirming the NH diagnosis despite diagnostic challenges.
Implications:
- This case underscores the necessity of comprehensive diagnostic work-up for rare headache disorders.
- Effective management of nummular headache relies on recognizing its unique features and utilizing appropriate investigations.
