title: Cephalalgia alopecia or nummular headache with trophic changes? A new case with prolonged follow-up.
abstract: Cephalalgia alopecia is a rare and recently described headache syndrome in which recurrent, burning head and neck pain is associated with hair loss from areas of scalp affected by the pain. We here report the case of a 33-year-old woman with continuous unilateral occipital pain and colocalized alopecia, only responsive to onabotulinumtoxin A injections. We hypothesize whether this clinical phenotype may correspond to either cephalalgia alopecia or nummular headache with trophic changes, conditions that might represent 2 manifestations of the same spectrum of disorders.
authors.affiliation: Department of Neurology, University Clinic of Navarra, Pamplona, Spain.
authors.forename: Pablo
authors.initials: P
authors.lastname: Irimia
authors.forename: Jose-Alberto
authors.initials: JA
authors.lastname: Palma
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Idoate
authors.forename: Agustin
authors.initials: A
authors.lastname: España
authors.forename: Mario
authors.initials: M
authors.lastname: Riverol
authors.forename: Eduardo
authors.initials: E
authors.lastname: Martinez-Vila
mesh_terms: D000328:Adult; D000505:Alopecia / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D019274:Botulinum Toxins, Type A / Q000008:administration & dosage; D005260:Female; D005500:Follow-Up Studies; D006261:Headache / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D019547:Neck Pain / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D019274:Botulinum Toxins, Type A