Nummular headache: Six new cases and lancinating pain attacks as possible manifestation

Ruscheweyh, Ruth; Buchheister, A; Gregor, N. Mc; Jung, Andreas; Evers, Stefan

doi:10.1111/j.1468-2982.2009.01893.x

Cited by 42 publications

(57 citation statements)

References 19 publications

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“…Pain in NH is typically continuous and, when paroxysms are superimposed, they begin and end in situ [9, 13]. Eight of our patients (two in BREF and six in FREF groups) had a nummular type head pain in the stemming area between EF paroxysms, as it has been previously described [3, 14].…”

Section: Discussionmentioning

confidence: 61%

Epicrania fugax with backward radiation: clinical characteristics of nine new cases

et al. 2011

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Epicrania fugax (EF) is a novel syndrome, described as a paroxysmal and brief head pain, starting in posterior cranial regions and rapidly spreading forward ipsilateral eye, nose or forehead. Two patients with comparable clinical features stemming from frontal scalp to ipsilateral posterior regions have been recently described and proposed as backward radiation epicrania fugax (BREF). We report a new series of nine BREF and compare their clinical characteristics with 18 forward radiation EF (FREF). Since first description of BREF in February 2010 we have assessed nine patients (four males, five females) with this clinical picture at an outpatient headache office in a Tertiary Hospital. Comparison is established with 18 FREF patients (6 males, 12 females), attended since the publication of first series of EF in March 2008. We found no differences between BREF and FREF, respectively, in age at onset (43.4 ± 13.1 vs. 42.5 ± 17.7 years), female/male ratio (5/4 vs. 12/6), pain intensity (6.9 ± 2.1 vs. 6.8 ± 2.1 in a 0–10 visual analogical scale), duration (7.1 ± 4.9 vs. 5.7 ± 4.3 s) and frequency of episodes per day (7 ± 8.4 vs. 9.9 ± 15.4). Patients in BREF group presented less frequently interictal pain in stemming point (22.2 vs. 55.5%) and accompanying autonomic signs (33.3 vs. 55.5%), but without statistical significance in both the cases. This series reinforces the proposal of EF as a new headache variant or a new headache syndrome. Clinical picture of brief pain paroxysms starting in the anterior scalp and radiating backwards does not fit known headaches or neuralgias and might correspond to a reverse variant of EF, clinical characteristics of which are comparable to FREF.

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Section: Discussionmentioning

confidence: 61%

Epicrania fugax with backward radiation: clinical characteristics of nine new cases

et al. 2011

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“…It is defined as a focal pain that remains circumscribed to a small round or elliptical area of the head, typically 1–6 cm in diameter and frequently located in the parietal region . The pain is generally mild or moderate, but there may be superimposed exacerbations that always begin and conclude in situ . Exacerbations have been found in more than half of the painful areas, with no demographic or other clinical differences in comparison with the cases without exacerbations .…”

Section: Discussionmentioning

confidence: 99%

Nummular Headache and Epicrania Fugax: Possible Association of Epicranias in Eight Patients: Table 1

et al. 2013

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“…A few patients have reported mild head trauma previous to the onset of NH . Many patients have also a past or present diagnosis of migraine, but the pain from a migraine headache can be easily distinguished from the NH pain . Similar to menstrually related migraine, there is a case report of menstrually related NH …”

Section: Resultsmentioning

confidence: 99%

Unusual Headache Syndromes

Queiroz

2013

Headache

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Nummular headache: Six new cases and lancinating pain attacks as possible manifestation

Cited by 42 publications

References 19 publications

Epicrania fugax with backward radiation: clinical characteristics of nine new cases

Epicrania fugax with backward radiation: clinical characteristics of nine new cases

Nummular Headache and Epicrania Fugax: Possible Association of Epicranias in Eight Patients: Table 1

Unusual Headache Syndromes

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