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Nummular headache in a patient with ipsilateral occipital neuralgia—A case report
Affiliations- Department of Neurology, University of Medical Sciences, Poznań, Poland
- Department of Clinical Neuroimmunology, Chair of Neurology, University of Medical Sciences, Poznań, Poland
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Abstract
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.
Abstract
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.
Keywords
Nummular headache, Occipital neuralgia, Gabapentin, Mianserin
About this articleTitle
Nummular headache in a patient with ipsilateral occipital neuralgia—A case report
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
141-143
Page views
321
Article views/downloads
479
DOI
10.1016/j.pjnns.2013.09.005
Bibliographic record
Neurol Neurochir Pol 2014;48(2):141-143.
Keywords
Nummular headache
Occipital neuralgia
Gabapentin
Mianserin
Authors
Piotr Iwanowski
Wojciech Kozubski
Jacek Losy
