Nummular headache in children: A case series and systematic literature review

Background: Nummular headache is a rare primary headache disorder potentially disabling and refractory to treatment. Of over 300 reported cases, only 9 are children. Design/Methods: We searched our institutional database and PubMed for “nummular headache” and synonyms and evaluated select articles f...

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Main Authors: Daniel N Lax, Andrew D Hershey, Marielle A Kabbouche, Joanne Kacperski
Format: Article
Language:English
Published: SAGE Publishing 2022-04-01
Series:Cephalalgia Reports
Online Access:https://doi.org/10.1177/25158163221091782
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author Daniel N Lax
Andrew D Hershey
Marielle A Kabbouche
Joanne Kacperski
author_facet Daniel N Lax
Andrew D Hershey
Marielle A Kabbouche
Joanne Kacperski
author_sort Daniel N Lax
collection DOAJ
description Background: Nummular headache is a rare primary headache disorder potentially disabling and refractory to treatment. Of over 300 reported cases, only 9 are children. Design/Methods: We searched our institutional database and PubMed for “nummular headache” and synonyms and evaluated select articles from reference lists of substantial reviews. Results: Seven children were identified from our institution and nine from 107 unique publications. Mean age at onset was 9.7 and 11.9 years in our cohort and the literature, respectively, with a female:male ratio of 2:1. Location and quality varied, and allodynia was reported in five. Frequency ranged from every other week to continuous. Imaging was normal except in four cases. Migraine was often comorbid. Published cases were frequently refractory to treatment whereas four of our cohort improved with therapy for comorbid migraine. Conclusions: Nummular headache is rarely reported in children. We describe characteristics of seven new and nine previously published pediatric cases.
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spelling doaj.art-d6fe043ce1ad4334be7b0307a1398d422022-12-22T03:06:28ZengSAGE PublishingCephalalgia Reports2515-81632022-04-01510.1177/25158163221091782Nummular headache in children: A case series and systematic literature reviewDaniel N Lax0Andrew D Hershey1Marielle A Kabbouche2Joanne Kacperski3 Division of Neurology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USABackground: Nummular headache is a rare primary headache disorder potentially disabling and refractory to treatment. Of over 300 reported cases, only 9 are children. Design/Methods: We searched our institutional database and PubMed for “nummular headache” and synonyms and evaluated select articles from reference lists of substantial reviews. Results: Seven children were identified from our institution and nine from 107 unique publications. Mean age at onset was 9.7 and 11.9 years in our cohort and the literature, respectively, with a female:male ratio of 2:1. Location and quality varied, and allodynia was reported in five. Frequency ranged from every other week to continuous. Imaging was normal except in four cases. Migraine was often comorbid. Published cases were frequently refractory to treatment whereas four of our cohort improved with therapy for comorbid migraine. Conclusions: Nummular headache is rarely reported in children. We describe characteristics of seven new and nine previously published pediatric cases.https://doi.org/10.1177/25158163221091782
spellingShingle Daniel N Lax
Andrew D Hershey
Marielle A Kabbouche
Joanne Kacperski
Nummular headache in children: A case series and systematic literature review
Cephalalgia Reports
title Nummular headache in children: A case series and systematic literature review
title_full Nummular headache in children: A case series and systematic literature review
title_fullStr Nummular headache in children: A case series and systematic literature review
title_full_unstemmed Nummular headache in children: A case series and systematic literature review
title_short Nummular headache in children: A case series and systematic literature review
title_sort nummular headache in children a case series and systematic literature review
url https://doi.org/10.1177/25158163221091782
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