Atypical Nummular Headache or Circumscribed Migraine: The Utility of Pressure Algometry
A peripheral mechanism has been proposed for nummular headache; however, there have been descriptions of atypical features resembling migraine. The authors describe a case in which algometry assessment facilitated the discrimination between atypical nummular headache and circumscribed migraine. A 21...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2015/567072 |
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| _version_ | 1832566871605379072 |
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| author | Johanna Barón Cristina Rodríguez Marina Ruiz María Isabel Pedraza Ángel Luis Guerrero Pascal Madeleine María Luz Cuadrado César Fernández-de-las-Peñas |
| author_facet | Johanna Barón Cristina Rodríguez Marina Ruiz María Isabel Pedraza Ángel Luis Guerrero Pascal Madeleine María Luz Cuadrado César Fernández-de-las-Peñas |
| author_sort | Johanna Barón |
| collection | DOAJ |
| description | A peripheral mechanism has been proposed for nummular headache; however, there have been descriptions of atypical features resembling migraine. The authors describe a case in which algometry assessment facilitated the discrimination between atypical nummular headache and circumscribed migraine. A 21-year-old woman presented with a history of focal episodic pain in a circumscribed area on the left frontal region. The algometry study showed a unilateral and diffuse decrease of the pain pressure thresholds with frontal predominance, as has been proposed for migraine patients. This result led the authors to introduce a more specific preventive therapy with topiramate, with significant relief. In conclusion, cartographic investigation of pressure pain sensitivity is a simple tool that can help to differentiate between nummular headache and migraine. Further confirmatory investigations are needed. |
| format | Article |
| id | doaj-art-b777dafca3644117aa12afa62a6669f4 |
| institution | Kabale University |
| issn | 1203-6765 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-b777dafca3644117aa12afa62a6669f42025-02-03T01:02:57ZengWileyPain Research and Management1203-67652015-01-01202606210.1155/2015/567072Atypical Nummular Headache or Circumscribed Migraine: The Utility of Pressure AlgometryJohanna Barón0Cristina Rodríguez1Marina Ruiz2María Isabel Pedraza3Ángel Luis Guerrero4Pascal Madeleine5María Luz Cuadrado6César Fernández-de-las-Peñas7Neurology Department, Hospital Clínico Universitario de Valladolid, Valladolid, SpainNeurology Department, Hospital Clínico Universitario de Valladolid, Valladolid, SpainNeurology Department, Hospital Clínico Universitario de Valladolid, Valladolid, SpainNeurology Department, Hospital Clínico Universitario de Valladolid, Valladolid, SpainNeurology Department, Hospital Clínico Universitario de Valladolid, Valladolid, SpainCentre for Sensory-Motor Interaction, Department of Health Science and Technology, Aalborg University, Aalborg, DenmarkNeurology Department, Hospital Clínico San Carlos, Universidad Complutense de Madrid, SpainDepartamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física, Universidad Rey Juan Carlos, Alcorcón, Madrid, SpainA peripheral mechanism has been proposed for nummular headache; however, there have been descriptions of atypical features resembling migraine. The authors describe a case in which algometry assessment facilitated the discrimination between atypical nummular headache and circumscribed migraine. A 21-year-old woman presented with a history of focal episodic pain in a circumscribed area on the left frontal region. The algometry study showed a unilateral and diffuse decrease of the pain pressure thresholds with frontal predominance, as has been proposed for migraine patients. This result led the authors to introduce a more specific preventive therapy with topiramate, with significant relief. In conclusion, cartographic investigation of pressure pain sensitivity is a simple tool that can help to differentiate between nummular headache and migraine. Further confirmatory investigations are needed.http://dx.doi.org/10.1155/2015/567072 |
| spellingShingle | Johanna Barón Cristina Rodríguez Marina Ruiz María Isabel Pedraza Ángel Luis Guerrero Pascal Madeleine María Luz Cuadrado César Fernández-de-las-Peñas Atypical Nummular Headache or Circumscribed Migraine: The Utility of Pressure Algometry Pain Research and Management |
| title | Atypical Nummular Headache or Circumscribed Migraine: The Utility of Pressure Algometry |
| title_full | Atypical Nummular Headache or Circumscribed Migraine: The Utility of Pressure Algometry |
| title_fullStr | Atypical Nummular Headache or Circumscribed Migraine: The Utility of Pressure Algometry |
| title_full_unstemmed | Atypical Nummular Headache or Circumscribed Migraine: The Utility of Pressure Algometry |
| title_short | Atypical Nummular Headache or Circumscribed Migraine: The Utility of Pressure Algometry |
| title_sort | atypical nummular headache or circumscribed migraine the utility of pressure algometry |
| url | http://dx.doi.org/10.1155/2015/567072 |
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