Vol 48, No 2 (2014)

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Nummular headache in a patient with ipsilateral occipital neuralgia—A case report

Piotr Iwanowski12, Wojciech Kozubski1, Jacek Losy12
DOI: 10.1016/j.pjnns.2013.09.005
Neurol Neurochir Pol 2014;48(2):141-143.


Nummular headache (NH) is a rarely recognized primary headache, the diagnostic criteria of which are contained in the appendix to the 2nd edition of the International Classification of Headache Disorders (code A13.7.1).

We present the case of a 61-year-old female who suffers, regardless of NH, from right-sided occipital neuralgia. The applied treatment – gabapentin and mianserin – had no effect. Injection of bupivacaine twice to the right occipital region resulted in neuralgia resolution up to three months, with no effect on NH.

This confirms the independence of two abovementioned head pain conditions.

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Neurologia i Neurochirurgia Polska