title: Nummular headache in a patient with ipsilateral occipital neuralgia--a case report.
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 above mentioned head pain conditions.
authors.affiliation: Department of Neurology, University of Medical Sciences, Poznań, Poland; Department of Clinical Neuroimmunology, Chair of Neurology, University of Medical Sciences, Poznań, Poland. Electronic address: bluep@op.pl.
authors.forename: Piotr
authors.initials: P
authors.lastname: Iwanowski
authors.affiliation: Department of Neurology, University of Medical Sciences, Poznań, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Kozubski
authors.affiliation: Department of Neurology, University of Medical Sciences, Poznań, Poland; Department of Clinical Neuroimmunology, Chair of Neurology, University of Medical Sciences, Poznań, Poland.
authors.forename: Jacek
authors.initials: J
authors.lastname: Losy
mesh_terms: D000588:Amines / Q000008:administration & dosage / Q000494:pharmacology; D000700:Analgesics / Q000008:administration & dosage / Q000494:pharmacology*; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000494:pharmacology*; D002045:Bupivacaine / Q000008:administration & dosage / Q000494:pharmacology; D015897:Comorbidity; D003509:Cyclohexanecarboxylic Acids / Q000008:administration & dosage / Q000494:pharmacology; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D000077206:Gabapentin; D006261:Headache / Q000188:drug therapy* / Q000453:epidemiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008803:Mianserin / Q000008:administration & dosage / Q000494:pharmacology; D008875:Middle Aged; D009437:Neuralgia / Q000188:drug therapy* / Q000453:epidemiology; D009777:Occipital Bone / Q000294:innervation; D012702:Serotonin Antagonists / Q000008:administration & dosage / Q000494:pharmacology*; D016896:Treatment Outcome; D005680:gamma-Aminobutyric Acid / Q000008:administration & dosage / Q000494:pharmacology
chemical_list: D000588:Amines; D000700:Analgesics; D000779:Anesthetics, Local; D003509:Cyclohexanecarboxylic Acids; D012702:Serotonin Antagonists; D008803:Mianserin; D005680:gamma-Aminobutyric Acid; D000077206:Gabapentin; D002045:Bupivacaine
keywords: Gabapentin; Mianserin; Nummular headache; Occipital neuralgia