Nummular Headache: A Prospective Series of 14 New Cases

Pareja, Juan A.; Pareja, JA; Barriga, Francisco; Barón, Manuel González; Dobato, José Luis; Pardo, Javier; Sánchez, Carmen; Vela, Lydia

doi:10.1111/j.1526-4610.2004.446011.x

Cited by 89 publications

(128 citation statements)

References 5 publications

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“…The intensity of pain was severe, which was similar to the cases already reported (3,4,8,13,14,19,25,26), although it is worth noting that NH pain is typically described as mild to moderate (18,23). The majority of the pain quality of NH has been described as pressing, burning or dull (8,11,19,23,24,26,29,32). Lancinating pain attacks, without baseline pain, as the only manifestation (2 patients) have only previously been reported by Ruscheweyh et al (27); the present case brings this total to three.…”

Section: Discussionsupporting

confidence: 65%

“…This new finding is interesting as the etiology of NH has yet to be fully described. Possible mechanisms might include neuropathy of a terminal branch of a cutaneous scalp nerve and focal, nociceptive-type pain that stems from epicranial tissues (11,26). The manifestation of electric-shock-like pain paroxysms without continuous pain, in this case, is termed as the terminal branch neuropathy hypothesis.…”

Section: Man Y Et Al: a New Variant Nummular Headachementioning

confidence: 99%

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A new variant nummular headache: large diameter accompanied with bitrigeminal hyperalgesia and successful treatment with carbamazepine

Man

Yu²,

Li³

et al. 2010

Turkish Neurosurgery

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Nummular headache (NH) is defined as a focal head pain that is exclusively felt in a small area, which is typically 1-6 cm in diameter. Neurological examinations are normal in all patients, but this report describes a new variant. A patient was identified who presented with focal head pain that was approximately 8 cm in diameter and bitrigeminal hyperalgesia on neurological examination. Treatment with carbamazepine provided significant analgesic relief in terms of both the frequency and intensity of pain. The findings enlarge the clinical diversity of this headache disorder. The pathogenic mechanisms of NH may be similar to trigeminal neuralgia in particular patients.

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Section: Discussionsupporting

confidence: 65%

Section: Man Y Et Al: a New Variant Nummular Headachementioning

confidence: 99%

A new variant nummular headache: large diameter accompanied with bitrigeminal hyperalgesia and successful treatment with carbamazepine

Man

Yu²,

Li³

et al. 2010

Turkish Neurosurgery

View full text Add to dashboard Cite

show abstract

“…This anti-nociceptive effect is thought to be associated with enhancement of endogenous descending pain inhibitory pathways (9). Based on topographic findings, NH pain is considered to be either a neuralgia of a terminal branch of the cutaneous nerves of the scalp or focal, nociceptive-type pain that originates in epicranial tissues (10). The present results suggest that nociceptive-type pain may be involved in the mechanisms underlying NH pain.…”

Section: Discussionmentioning

confidence: 81%

Three Cases of Nummular Headache Effectively Treated with Neurotropin<sup>®</sup>

2013

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We herein present three consecutive cases of nummular headache treated with Neurotropin (NTP). Case 1: A 71-year-old man developed a headache in a circumscribed area of the left parietal region. Treatment with NTP resolved the pain after three months. Case 2: A 57-year-old woman developed bifocal pain in both temporal regions. NTP therapy slightly relieved the pain, although the headache remained. Case 3: A 39-year-old man developed bifocal pain the left temporal region. Treatment with NTP resolved the pain after five days. The present results suggest that NTP may be effective for treating patients with nummular headaches.

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“…Epidemiologic data on other primary headache disorders is scarce -Schwaiger et al have reported the one-year prevalence of all other primary headache disorders to be ≤ 1.2%, whereas the prevalence for different diagnoses was as follows: primary stabbing headache 1.2%, primary cough headache 0.2%, primary exertional headache 0.2%, primary hypnic headache 0.2%, primary headache associated with sexual activity < 0.2%, primary thunderclap headache < 0.2%, and new daily-persistent headache < 0.2% [4]. There are no specific data on the true prevalence of nummular headache; however, more than 250 cases have been described and in one hospital series the incidence was 6.4/100,000/year [5,6]. Previously used methods of data collection in the majority of the epidemiological studies of headache prevalence have been either personal interview, telephone interview, or self-applied questionnaire [2].…”

Section: Introductionmentioning

confidence: 99%

Promising Online Tool for Headache Epidemiology: The PRILEVEL Pilot Study

Toom¹,

Laud²,

Raidvee³

et al. 2016

J Neurol Neurosurg

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Objectives: The aim of this study was to develop and test an online questionnaire which would be used in headache epidemiological research in Estonia.Methods: An online questionnaire consisting of 14 headachetargeting questions was compiled. A specifically designed algorithm using the ICHD-3 beta criteria provided the headache diagnosis. All patients aged 18-65 years who had received a definite headache diagnosis by a specialist at Tartu University Hospital's Headache Clinic from February 2014 to March 2015 were invited to complete the questionnaire. The diagnoses given by the headache specialists were compared to the diagnoses proposed by the algorithm to assess its sensitivity and specificity as well as its positive and negative predictive values. Results:The specificities and sensitivities of the main diagnostic groups were as follows: migraines 0.97 and 0.56, tension-type headaches 0.92 and 0.52, trigeminal autonomic cephalalgias 1 and 0.5, and other primary headaches 0.98 and 0.5 respectively. Incorporating ICHD-3 beta probable criteria in addition to the definite criteria for the migraine and tension-type headache diagnostic groups did not decrease the specificities markedly (0.9 and 0.92 respectively) but the sensitivity increased considerably (to 0.8 and 0.6 respectively). Conclusions:The PRILEVEL questionnaire and algorithm have very high specificity. Strictly applying the ICHD-3 beta definite criteria within the epidemiologic studies can lead to an underestimation of true prevalence values of primary headache disorders, and probable criteria should be included to increase sensitivity and decrease the influence of a recall bias.

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Nummular Headache: A Prospective Series of 14 New Cases

Abstract: NH emerges as a clear-cut clinical picture. It is a noninfrequent primary headache. The particular topography suggests the pain has a probable epicranial source conveyed by, or originated in, one/a few terminal branch(es) of the cutaneous nerves of the scalp.

Cited by 89 publications

References 5 publications

A new variant nummular headache: large diameter accompanied with bitrigeminal hyperalgesia and successful treatment with carbamazepine

A new variant nummular headache: large diameter accompanied with bitrigeminal hyperalgesia and successful treatment with carbamazepine

Three Cases of Nummular Headache Effectively Treated with Neurotropin<sup>®</sup>

Promising Online Tool for Headache Epidemiology: The PRILEVEL Pilot Study

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