Nummular Headache.
Circumscribed cephalalgia
Coin-shaped headache
Epicrania
Nummular headache
Primary headache
Journal
Current neurology and neuroscience reports
ISSN: 1534-6293
Titre abrégé: Curr Neurol Neurosci Rep
Pays: United States
ID NLM: 100931790
Informations de publication
Date de publication:
17 04 2019
17 04 2019
Historique:
entrez:
19
4
2019
pubmed:
19
4
2019
medline:
14
4
2020
Statut:
epublish
Résumé
This article reviews nummular headache (NH), including the latest literature on the epidemiological and clinical features, the most recent proposed pathophysiology, and novel management. 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.
Identifiants
pubmed: 30997617
doi: 10.1007/s11910-019-0943-x
pii: 10.1007/s11910-019-0943-x
doi:
Substances chimiques
Gabapentin
6CW7F3G59X
Botulinum Toxins
EC 3.4.24.69
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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