Nummular Headache.
Publication/Presentation Date
4-17-2019
Abstract
PURPOSE OF REVIEW: This article reviews nummular headache (NH), including the latest literature on the epidemiological and clinical features, the most recent proposed pathophysiology, and novel management.
RECENT FINDINGS: NH is characterized by continuous or intermittent head pain confined to a focal circumscribed area (1-6 cm in diameter). It is usually of mild to moderate intensity, although some patients have severe continuous pain or disabling exacerbations. NH is a primary headache, though many secondary cases have been described. Evaluation requires exclusion of systemic and structural diseases. Gabapentin can be recommended as a first-line preventive treatment. If poorly tolerated or in refractory cases, botulinum toxin is a reasonable alternative. NH is a fairly common disorder in patients presenting to a headache clinic. Increased understanding of NH will lead to improved outcomes. Clinical trials would lead to enhanced knowledge of NH.
Volume
19
Issue
6
First Page
26
Last Page
26
ISSN
1534-6293
Published In/Presented At
Wilhour, D., Ceriani, C. E. J., & Nahas, S. J. (2019). Nummular Headache. Current neurology and neuroscience reports, 19(6), 26. https://doi.org/10.1007/s11910-019-0943-x
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
30997617
Department(s)
Administration and Leadership
Document Type
Article