Nummular headache: Diagnosis and treatment

Expert Review of Neurotherapeutics

Volumn 3, Issue 3, 2003, Pages 289-292

  Pareja, Juan A ^a,b   Pareja, Julia ^c  

^a Fundacion Hospital Alcorcon ^*  (Spain)

^b HOSPITAL UNIVERSITARIO FUNDACIÓN ALCORCÓN   (Spain)

^c HOSPITAL SANTA BÁRBARA   (Spain)

Author keywords

Coin shaped cephalgia; Epicranias; Focal headaches; Nummular headache; Unilateral headaches

Indexed keywords

ALMOTRIPTAN; AMITRIPTYLINE; ANALGESIC AGENT; ANTIDEPRESSANT AGENT; BACLOFEN; CARBAMAZEPINE; DIPYRONE; EPITAL; FLUNARIZINE; GABAPENTIN; IBUPROFEN; INDOMETACIN; KETOROLAC; LAMOTRIGINE; LIDOCAINE; LITHIUM CARBONATE; NAPROXEN; NONSTEROID ANTIINFLAMMATORY AGENT; PARACETAMOL; PHENYTOIN; PROPRANOLOL; SERTRALINE; TOPIRAMATE; TRAMADOL; VERAPAMIL;

CHRONIC PAIN; CLINICAL FEATURE; DISEASE SEVERITY; DYSESTHESIA; HEADACHE; HUMAN; HYPESTHESIA; NUMMULAR HEADACHE; PARESTHESIA; PARIETAL LOBE; REMISSION; REVIEW; SENSORY DYSFUNCTION; TREATMENT PLANNING;

EID: 0037799862     PISSN: 14737175     EISSN: None     Source Type: Journal    
DOI: 10.1586/14737175.3.3.289     Document Type: Review

References (27)

1. Merskey H, Bogduk N. Classification of chronic pain: description of chronic pain syndromes and definition of pain terms. IASP Press, Seattle, WA, USA (1994).
2. Mechanisms and management of headache. (6th Edition). Lance JW, Goadsby PJ (Eds). Butterworth-Heinemann, Oxford, UK (1998).
3. Moskowitz MA. The neurobiology of vascular head pain. Ann. Neurol. 16, 157-168 (1984).
4. Sjaastad O, Stolt-Nielsen A, Pareja JA, Vincent M. Supraorbital neuralgia. The clinical manifestations and a possible therapeutic approach. Headache 39, 204-212 (1999).
5. Caminero AB, Pareja JA. Supraorbital neuralgia. A clinical study. Cephalalgia 21, 216-223 (2001).
6. Pareja JA, Caminero AB, Serra J et al. Numular headache: a coin-shaped cephalgia. Neurology 58, 1678-1679 (2002). Nummular headache is described as a highly localized (coin-shaped), mild-to-moderate, rather continuous pain, exclusively felt in a small, circumscribed area (typically 2-6 cm in diameter) of the head, in the absence of underlying structural lesions.
7. Weddell G. The pattern of cutaneous innervation in relation to cutaneous sensibility. Anatomy 75, 346-367 (1945).
8. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Headache Classification Committee of the International Headache Society. Cephalalgia 8 (Suppl. 7), 1-96 (1998). In the section of secondary headaches of the 1988 IHS classification, it was stated that there are a few phenotypes a headache can express [1]. Namely, migraine, tension-type headache, duster headache, increased and decreased intracranial pressure, local lesion type, vasodilator type and stabbing type. Local lesion type was described as continuous pain having a distinct maximum in a circumscribed area of 5 cm or less but eventually spreading to surroundings or referring to more distant areas. Pain from cranial bone methastasis was noted as the prototype of this symptomatic focal headache.
9. Devor M. The pathophysiology of damaged peripheral nerves. In: Textbook of Pain. Wall P, Melzack R (Eds). Churchill Livingstone, Edinburgh, UK. 79-100 (1994).
10. Campero M, Serra J, Marchettini P, Ochoa JL. Ectopic impulse generation and autoexcitation in single myelinated afferent fibers in patients with peripheral neuropathy and positive sensory symptoms. Muscle Nerve 21, 1661-1667 (1998).
11. Tal M, Wall PD, Devor M. Myelinated afferent fiber types that become spontaneously active and mechanosensitive following nerve transection in the rat. Brain Res. 824, 218-223 (1999).
12. Ochoa JL, Torebjork HE. Paraesthesiae from ectopic impulse generation in human sensory nerves. Brain 103, 835-853 (1980).
13. Nordin M, Nystrom B, Wallin U, Hagbarth KE. Ectopic sensory discharges and paresthesiae in patients with disorders of peripheral nerves, dorsal roots and dorsal columns. Pain 20, 231-245 (1984).
14. García Pastor A, Guillern Mesado A, Salinero Paniagua J, Giménez Toldán S. Fusiform aneurysm of the scalp: an unusual cause of focal headache in Marfan syndrome. Headache 42, 908-910 (2002).
15. Lansche RK. Ophthalmodinia periodica. Headache 4, 247-249 (1964).
16. Sjaastad O, Egge K, Horven I et al. Chronic paroxysmal hemicrania. Mechanical precipitation of attacks. Headache 19, 31-36 (1979).
17. Sjaastad O, Apfelbaum R, Cokey W et al. Chronic paroxysmal hemicrania (CPH): the clinical manifestations. A review. Ups. J. Med. Sci. 31, 27-35 (1980).
18. Raskin NH, Schwartz RK. Ice pick-like pain. Neurology 3, 203-205 (1980).
19. Pareja JA, Ruiz J, de Isla C, Al-Sabbah H, Espejo J. Idiopathic stabbing headache (jabs and jolts syndrome). Cephalalgia 16, 93-96 (1996).
20. Pareja JA, Kuszewski P, Caminero AB. SUNCT syndrome vs. Idiopathic stabbing headache (jabs and jolts syndrome). Cephalalgia 19(Suppl. 25), 46-48 (1999).
21. Yangüela J, Pareja JA, Gili P, Sánchez del Río M. Trochleitis and migraine headache. Neurology 58, 802-805 (2002).
22. Pestronk A, Pestronk S. Goggle migraine. N. Engl. J. Med 308, 226 (1983).
23. Charlin C. Le syndrome du nerf nasal. Ann Ocul. 168, 86-102 (1931).
24. Charlin C. Le syndrome fruste du nerve nasal. Ann Ocul. 168, 808-815 (1931).
25. Bruyn GW. Charlin's neuralgia. In: Headache. Handbook of Clinical Neurology. Rose FC (Ed.). Elsevier, Amsterdam, The Netherlands. 4(48), 483-486 (1986).
26. Bogduk N. Greater occipital neuralgia. In: Current Therapy in Neurological Surgery. Long DM (Ed.). BC Decker, Inc. Toronto, PA, USA. 175-180 (1985).
27. Hammond SR, Danta A. Occipital neuralgia. Clin. Exp. Neurol. 15, 258-270 (1978).