Bifocal Nummular Headache: The First Three Cases

Author:

Cuadrado ML12,Valle B23,Fernández C23,Barriga FJ24,Pareja JA24

Affiliation:

1. Department of Neurology, Hospital Clinico San Carlos, Universidad Complutense, Madrid

2. Laboratory of Aesthesiology

3. Department of Physical Therapy, Hospital Universitario Fundación Alcorcón and Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain

4. Department of Neurology, Hospital Universitario Fundación Alcorcón and Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain

Abstract

Nummular headache (NH) has been defined as a focal head pain that is exclusively felt in a small area of the head surface. Here we describe three patients who presented with focal head pain in two separate areas. This finding seems to be consistent with bifocal NH and further enlarges the clinical diversity of this headache disorder. The pathogenic mechanisms of NH may be active in multiple cranial areas in some particular patients.

Publisher

SAGE Publications

Subject

Clinical Neurology,General Medicine

Reference31 articles.

1. Numular headache: A coin-shaped cephalgia

2. 2 Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders, 2nd edn. Cephalalgia 2004; 24 (Suppl. 1):9–160.

3. Nummular Headache: A Prospective Series of 14 New Cases

4. Cefaléia numular: relato de caso

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