TITLE

Bifocal pain in nummular headache: A clinical analysis and literature review

AUTHOR(S)
Yi-Ting Chen; Chiu-Hsien Lin; Tzu-Hui Li; Lian-Hui Lee; Wei-Hsi Chen
PUB. DATE
March 2013
SOURCE
Neurology Asia;Mar2013, Vol. 18 Issue 1, p59
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Nummular headache is a new category of primary headache disorder characterized by consistent location, size, and shape of painful areas. The pathogenesis is uncertain. Bifocal painful areas are rare manifestations but may expand the clinical diversity of nummular headache. Methods: The clinical characteristics of 5 bifocal nummular headache patients were reported and those of 11 patients in previous studies were reviewed. Bifocal nummular headache was classified into two types. Type I was defined as a simultaneous activation of two painful areas while type II was defined as two painful areas occurring in different times. Results: All 16 patients were female, with mean age of onset and initial presentation of 54.7 years and 58.2 years, respectively. There were seven type I and nine type II patients. The parietal area, especially the tuber parietale, was the leading site of involvement in both types of patients. The shape and size of painful areas were also similar between these two groups. There was an equal frequency of ipsilateral and contralateral painful areas. The pain intensity was similar in both types of patients but was milder in new painful areas than in previous painful areas in type II patients. Conclusions: Bifocal nummular headache suggests a central role of nummular headache but does not debunk the peripheral theory of nummular headache. The accumulated findings in bifocal NH patients do not support a generalization of pain occurrence or a reproduction of local process of epicranial neuralgia at multiple sites in nummular headache.
ACCESSION #
86442144

 

Related Articles

  • Occipital Neuralgias: Clinical Recognition of a Complicated Headache. A Case Series and Literature Review. Kuhn, Walter F.; Kuhn, Sharon C.; Gilberstadt, Huson // Journal of Orofacial Pain;Spring1997, Vol. 11 Issue 2, p158 

    The objective of this study was to assist clinicians in the diagnosis of the occipital neuralgia syndrome by describing its clinical characteristics. Bibliographies and clinical descriptions of occipital neuralgia syndrome were identified through a review of literature published between 1966 and...

  • Mometasone.  // Reactions Weekly;11/8/2008, Issue 1227, p20 

    The article describes the case of a 60-year-old man who acquired demodicosis presenting as pseudozoster. The patient developed the said condition while undergoing treatment with mometasone for postherpetic neuralgia. He was given topical permethrin which reduced his lesions by sixty percent...

  • thermalgia.  // Taber's Cyclopedic Medical Dictionary;2005, p2171 

    A definition of the term "thermalgia" is presented. It refers to neuralgia which is accompanied by an intense burning sensation, redness, pain and sweating of the area involved.

  • Trotter's syndrome.  // Taber's Cyclopedic Medical Dictionary;2005, p2243 

    A definition of the term "Trotter's syndrome" is presented. It refers to a unilateral neuralgia in the mandible, tongue, and ear due to mandibular nerve lesions, deafness on the same side due to eustachian tube lesions, and damage to the levator palatini muscle resulting in kinesthesia of the...

  • Intractable trigeminal neuralgia. Watts, P. G. // Journal of the Royal Society of Medicine;Sep1987, Vol. 80 Issue 9, p561 

    In 49 cases of trigeminal neuralgia seen at the Abingdon Pain Relief Unit, Oxfordshire, the average time between initial onset of pain and first referral to the unit was 9.8 years. The pattern of presentation and distribution was no different from previously published studies, indicating that...

  • Corticosteroid injection and a local anesthetic for PHN. Kirchner, Jeff // Patient Care;Apr2006, Vol. 40 Issue 4, p58 

    Presents the results of a study on the effect of corticosteroid on postherpetic neuralgia. Total number of patients used for the study; Benefits of a single injection of epidural corticosteroid for patients with postherpetic neuralgia.

  • Neurovascular relationship at the trigeminal root entry zone in persistent idiopathic facial pain: findings from MRI 3D visualisation. Lang, E.; Naraghi, R.; Tanrikulu, L.; Hastreiter, P.; Fahlbusch, R.; Neundörfer, B.; Tröscher-Weber, R. // Journal of Neurology, Neurosurgery & Psychiatry;Nov2005, Vol. 76 Issue 11, p1506 

    Background: Patients with atypical neuralgia or atypical facial pain have been surgically treated with microvascular decompression (MYD) of the trigeminal root entry zone (TREZ). There are no data regarding the sensitivity and specificity of a vesset-TREZ relationship as a cause of pain in...

  • The Unnerving Dilemma: Understanding Trigeminal Neuralgia. Garg, Arun; Guez, Ghislaine // Dental Implantology Update;Jan2012, Vol. 23 Issue 1, p1 

    This article discusses about chronic oral pain and focuses on trigeminal neuralgia, which is a common but challenging affliction commonly in patients with dental implants. According to recent studies on animal models, glucocorticoids can be possibly used in the treatment of trigeminal...

  • Comparison of evoked vs. spontaneous tics in a patient with trigeminal neuralgia (tic doloureux). Borsook, David; Moulton, Eric A.; Pendse, Gautam; Morris, Susie; Cole, Sadie H.; Aiello-Lammens, Matthew; Scrivani, Steven; Becerra, Lino R. // Molecular Pain;2007, Vol. 3 Issue 1, p34 

    A 53-year old woman with tic doloureaux, affecting her right maxillary division of the trigeminal nerve (V2), could elicit shooting pains by slightly tapping her teeth when off medication. The pains, which she normally rated as > 6/10 on a visual analog scale (VAS), were electric shock-like in...

  • A cross-sectional survey of health state impairment and treatment patterns in patients with postherpetic neuralgia. Van Seventer, Robert; Sadosky, Alesia; Lucero, Melanie; Dukes, Ellen // Age & Ageing;Mar2006, Vol. 35 Issue 2, p132 

    Background: postherpetic neuralgia (PHN) develops in 8-24% of patients with herpes zoster. Few studies have evaluated the patient burden and treatment of PHN in general practice. Objectives: to determine the patient burden of PHN with respect to pain intensity and impact on patient functioning...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics