Nummular Headache in a Patient with Craniosynostosis: One More Evidence for a Peripheral Mechanism

Dear Editor, Nummular headache (NH) is a normally mild-to-moderate pain felt in a coin-shaped or elliptical area of the head, typically 1 to 6 cm in diameter. The affected area may show several combinations of sensory signs, such as hypoesthesia, paresthesia, dysesthesia, and tenderness [1,2]. In addition, a few patients develop local alopecia or other trophic changes [3]. NH was described in 2002 [1], and has already been reported in 238 cases according to a recent review [4]. Although NH emerged as a primary disorder, we have to pay attention to possible symptomatic or secondary cases. Here we report a case of NH associated with craniosynostosis. A 41-year-old woman was admitted to our department due to a 1-year long headache. It was localized in her left tuber parietal region, in a well-demarcated round zone measuring 3 cm in diameter, with no changes in size or location. She …