Nummular headache is characterized by head pain exclusively felt in a rounded or elliptical area, typically 1 to 6 cm in diameter. The pain remains confined to the same symptomatic area, which does not change in shape or size with time. The symptomatic area may be localized in any part of the head but mostly in the parietal region. Rarely, the disorder may be multifocal, each symptomatic area keeping all the characteristics of nummular headache. The pain is generally mild or moderate, commonly described as oppressive or stabbing, and lasting minutes, hours, or days, with a remitting or unremitting pattern. Superimposed on the baseline pain, there may be spontaneous or triggered exacerbations. During and between symptomatic periods, the affected area may show variable combinations of hypoesthesia, dysesthesia, paresthesia, tenderness, and trophic changes. Nummular headache emerges as a primary disorder with a clear-cut clinical picture developed in a unique topography.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s11910-011-0247-2 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Secondary nummular headache: Are they more common than we thought?
Headache
December 2024
Neurology Department, University Hospital Gregorio Marañón, Madrid, Spain.
Objective: To provide a detailed description of symptomatic nummular headache (NH) and to compare them with primary cases in a large series.
Background: While most published cases of NH are primary headache, some 'secondary' cases have been reported since its initial description. It remains uncertain why identical clinical presentations can result from primary and 'secondary' etiologies.
[Nummular headache is a rare type of primary headache in children and adults].
Zh Nevrol Psikhiatr Im S S Korsakova
November 2024
Kazan State Medical Academy - Branch Campus of the Federal State Budgetary Educational Institution of Further Professional Education «Russian Medical Academy of Continuous Professional Education», Kazan, Russia.
Nummular headache is a rather rare type, related to primary headaches according to the International Classification of Headache Disorders - III. Many aspects of nummular headache have not been studied, medical practitioners are unfamiliar with the clinical features and approaches to therapy. Statistics of this type of cephalgia in children is unknown.
View Article and Find Full Text PDF[Usefulness of spontaneous drawing in the diagnostic guidance of pediatric patients with headache].
Rev Neurol
November 2024
Hospital Clínico San Carlos, 28040 Madrid, España.
Introduction And Aims: The diagnosis of headache in children can be challenging due to its clinical variability and inability to verbalize certain symptoms. The use of drawing has been proposed to overcome these difficulties. The objective was to evaluate drawing as a diagnostic tool in primary headaches.
View Article and Find Full Text PDFAre there differences between patients with unifocal nummular headache and those who progress to bifocal nummular headache? A retrospective observational study.
Headache
September 2024
Neurology Department, Hospital de Egas Moniz, Unidade de Local de Saúde de Lisboa Ocidental, Lisbon, Portugal.
Objectives: This retrospective observational cohort study aimed to compare clinical characteristics and treatment responses in patients exclusively experiencing unifocal nummular headache (NH) with those who develop the bifocal variant.
Methods: A retrospective study was conducted on patients diagnosed with NH who attended a neurology (headache) outpatient clinic between January 2018 and December 2022. The cohort was divided into two groups: Group 1, exclusive unifocal NH; and Group 2, those developing a secondary focal area of pain, i.
A case report: new-onset nummular headache after stenting of the middle cerebral artery.
BMC Neurol
February 2024
Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Background: Nummular headache (NH) is categorized as a primary headache in the International Classification of Headache Disorders, Third edition (ICHD-3) diagnostic criteria, but there are secondary etiologies as well. We present a case of secondary NH that associated with vascular lesion.
Case Presentation: We report on a 40-year-old man with a medical history of symptomatic intracranial arterial stenosis who developed a headache after percutaneous transluminal angioplasty and stenting because of Intracranial atherosclerotic stenosis(ICAS).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!