Nummular Headache
摘要
This case report presents a 47-year-old female patient, S*, with a long-standing history of migraine characterized by unilateral, throbbing headaches accompanied by photophobia, phonophobia, nausea, and occasional vomiting. Recently, she began experiencing a distinct pain pattern characterized by burning, numbness, and tingling sensations localized to a circular area in the right parietal region. Concerned about a potential underlying serious health condition, she sought medical attention. Neurological examination revealed no abnormalities, and both brain magnetic resonance imaging (MRI) and laboratory findings were unremarkable. Based on clinical findings, the patient was diagnosed with nummular headache (NH), a benign primary headache disorder. Symptomatic treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) provided relief, and gabapentin was planned in case the condition became chronic. This case report highlights that NH is an unrecognized form of primary headaches, and it is commonly coexistent with migraine. We also want to emphasize the importance of differentiating primary headache disorders from secondary causes through clinical evaluation and neuroimaging studies.