Nummular Headache (Clinical Observation, Discussion)

The purpose of the study was to show importance using international diagnostic criteria headache in neurological practice through description clinical case nummular headache. Materials and methods. Complaints, medical history, life results objective examination, data laboratory instrumental research methods a patient with Results discussion. Patient G., 53 years old, complained constant, dull, local, moderate pain right parietal area. appeared gradually 5–6 months ago, without any evident triggers. denied autonomic trigeminal signs, nausea, photo- phonophobia. Painkillers intake accompanied by temporary slight decrease intensity. At examination pointed local area region that had diameter about 3 cm, rounded shape clear borders. Neurological status – abnormalities, except for hyperalgesia skin hair were not changed, touching this place caused unpleasant feeling. General biochemical blood tests, glucose, general urine analysis within reference values; magnetic resonance imaging brain abnormalities; cervical spine showed osteochondrosis, protrusion intervertebral discs C5-C6, C6-C7. Additional recommended patient: computer tomography head (skull bones unchanged), consultation dermatologist (no pathology found). Finally, it concluded patient's condition, according classification disorders 3rd revision, corresponds diagnosis “nummular headache”. Gabapentin prescribed 300 mg per day, followed increasing drug dose every days daily 1200 or until significant reduction (disappearance) occurred at lower gabapentin doses. After 1 week taking, reported intensity 600 subsequent disappearance 900 mg. It continue taking day next months. months, no during entire period usage. reduce 5 recurs total discontinuation intake. month later since stopping Conclusion. Neurologists need know actively use their headache, is basis adequate management rare primary