open access

Vol 48, No 2 (2014)
Case reports
Submitted: 2013-06-04
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Nummular headache in a patient with ipsilateral occipital neuralgia—A case report

Piotr Iwanowski, Wojciech Kozubski, Jacek Losy
DOI: 10.1016/j.pjnns.2013.09.005
·
Neurol Neurochir Pol 2014;48(2):141-143.

open access

Vol 48, No 2 (2014)
Case reports
Submitted: 2013-06-04

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.

Get Citation

Keywords

Nummular headache, Occipital neuralgia, Gabapentin, Mianserin

About this article
Title

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

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 48, No 2 (2014)

Pages

141-143

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

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