Nummular headache update topical collection on uncommon headache syndromes

Daniel P. Schwartz, Matthew S. Robbins, Brian M. Grosberg

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Nummular headache (NH) is a rare headache disorder characterized by focal and well-circumscribed pain fixed within a rounded or oval/elliptical-shaped area of the head, typically 2 to 6 cm in diameter (Grosberg et al. Curr Pain Headache Rep 11:310-2, 2007). The disorder most commonly affects the parietal region and is almost always unilateral and side-locked. The pain is typically characterized as pressure-like, sharp, or stabbing and is usually mild to moderate in intensity. Many patients experience superimposed exacerbations of pain, lasting from seconds to days (Grosberg et al. Curr Pain Headache Rep 11:310-2, 2007). Distortions of sensation including hyperesthesia, hypoesthesia, allodynia, and paresthesias are frequently reported in the affected area. The temporal pattern may be episodic or chronic. Rarely, the disorder may be bifocal or multifocal, affecting various regions of the head simultaneously or in sequence. Treatment with gabapentin, tricyclic antidepressants, or botulinum toxin may be helpful. In this review of the more than 250 cases now reported in the literature, the epidemiology, clinical features, pathogenesis, differential diagnosis, and management of this disorder are discussed.

Original languageEnglish (US)
Article number340
JournalCurrent Pain and Headache Reports
Volume17
Issue number6
DOIs
StatePublished - 2013

Fingerprint

Headache Disorders
Headache
Pain
Hyperesthesia
Head
Parietal Lobe
Botulinum Toxins
Hypesthesia
Paresthesia
Tricyclic Antidepressive Agents
Hyperalgesia
Epidemiology
Differential Diagnosis
Pressure

Keywords

  • Comorbidity
  • Diagnosis
  • Epidemiology
  • Management
  • Nummular headache
  • Pathophysiology
  • Prevalence

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Nummular headache update topical collection on uncommon headache syndromes. / Schwartz, Daniel P.; Robbins, Matthew S.; Grosberg, Brian M.

In: Current Pain and Headache Reports, Vol. 17, No. 6, 340, 2013.

Research output: Contribution to journalArticle

Schwartz, Daniel P. ; Robbins, Matthew S. ; Grosberg, Brian M. / Nummular headache update topical collection on uncommon headache syndromes. In: Current Pain and Headache Reports. 2013 ; Vol. 17, No. 6.
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