Successful treatment of nummular headache with Neurotropin®

Onabotulinum ToxinAfor the Treatment of Headache in Service Members With a History of Mild Traumatic Brain Injury: A Cohort Study

“…[45][46][47][48][49] In addition, unusual headache types, including focal or nummular pain, 50 have been shown to improve with OBA injections of different qualities and protocols. [51][52][53] Previous studies of the utility of OBA for secondary headaches have not been of high enough quality to recommend its use. 54 Several of our findings bear further explanation.…”

Unusual Headache Syndromes

“…Gabapentin seems to be the most used preventive treatment for NH, although the results are inconsistent . Other treatments potentially helpful are naproxen, indomethacin, cyclobenzaprine, nortriptyline, carbamazepine, lamotrigine, neurotropin®, and transcutaneous electrical nerve stimulation …”

“…77,87,88 Gabapentin seems to be the most used preventive treatment for NH, although the results are inconsistent. 60,63,66,[89][90][91] Other treatments potentially helpful are naproxen, 76 indomethacin, 86 cyclobenzaprine, 75 nortriptyline, 79 carbamazepine, 69 lamotrigine, 60 neurotropin®, 92 and transcutaneous electrical nerve stimulation. 93 Cardiac Cephalgia.-The term CC was coined by Lipton et al in 1997, 94 as a form of exertional headache.…”

Can Temporal Course of Pain Determine Patient Response to Specific Medication in Nummular Headache?

“…Patients rarely experience any accompanying symptoms, and there have not been any precipitating factors identified in studies to date . Studies thus far have identified response among patients to treatment with NSAIDS – including indomethacin7‐9 – as well as with gabapentin,6,10‐12 botulinum toxin, carbamazepine, tricyclic antidepressants, and neurotropin . Recent studies utilizing transcutaneous electrical nerve stimulation have also been reported to be effective .…”

“…5 Studies thus far have identified response among patients to treatment with NSAIDS -including indomethacin 7-9 -as well as with gabapentin, 6,10-12 botulinum toxin, 13,14 carbamazepine, 3,15 tricyclic antidepressants, 9 and neurotropin. 16 Recent studies utilizing transcutaneous electrical nerve stimulation have also been reported to be effective. 17 Of all these, gabapentin has been the most widely utilized, although none have yet been identified as achieving complete resolution of the headaches.…”