Nummular headache associated to arachnoid cysts

Neurology Department, HGU Gregorio Marañón, Madrid, Spain.
The Journal of Headache and Pain (Impact Factor: 3.28). 03/2009; 10(3):215-7. DOI: 10.1007/s10194-009-0103-9
Source: PubMed
  • [Show abstract] [Hide abstract]
    ABSTRACT: Several studies have presented evidence that blocking peripheral nerves is effective for the treatment of some headaches and cranial neuralgias, resulting in reduction of the frequency, intensity, and duration of pain. In this article we describe the role of nerve block in the treatment of headaches and cranial neuralgias, and the experience of a tertiary headache center regarding this issue. We also report the anatomical landmarks, techniques, materials used, contraindications, and side effects of peripheral nerve block, as well as the mechanisms of action of lidocaine and dexamethasone. The nerve block can be used in primary (migraine, cluster headache, and nummular headache) and secondary headaches (cervicogenic headache and headache attributed to craniotomy), as well in cranial neuralgias (trigeminal neuropathies, glossopharyngeal and occipital neuralgias). In some of them this procedure is necessary for both diagnosis and treatment, while in others it is an adjuvant treatment. The block of the greater occipital nerve with an anesthetic and corticosteroid compound has proved to be effective in the treatment of cluster headache. Regarding the treatment of other headaches and cranial neuralgias, controlled studies are still necessary to clarify the real role of peripheral nerve block. © 2015 American Headache Society.
    Headache The Journal of Head and Face Pain 02/2015; 55(S1). DOI:10.1111/head.12516 · 3.19 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    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 abovementioned head pain conditions.
    Neurologia i neurochirurgia polska 03/2014; 48(2):141-3. DOI:10.1016/j.pjnns.2013.09.005 · 0.54 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Focal magnetic resonance (MR)-signal diffusion-weighted imaging changes in CA-1 sector of the hippocampus are detected in most patients during episodes of transient global amnesia (TGA), usually limited to one side. We report a 65-year old woman who developed TGA by current diagnostic criteria after being awakened from a napping by a telephone call reporting mournful news. A MR imaging of the brain showed a large arachnoid cyst of the right middle cranial fossa, a finding thought to represent temporal lobe hypogenesis. We suggest that asymmetric development of mesial temporal structures may also represent a risk factor for TGA.
    04/2013; 5(2):66–69. DOI:10.1016/j.neuarg.2012.10.005


Available from