The largest case series to date of this rare headache type saw intracranial lesions, skin disorders, and other causes in more than a quarter of patients.
A rare coin-shaped headache long viewed as a primary headache disorder frequently has underlying causes, according to new research, and clinicians should refer people who present with it for imaging., nummular or coin-shaped headache comprises an intermittent or constant pain limited to a rounded region between 1 and 6 cm in diameter.
Preventive treatment was more effective in patients with determined causes for their headaches, Sánchez-Soblechero and colleagues found, with 72% seeing their monthly headache days halved, compared with just 30% of patients in whom a cause was not identified. Understanding what should be done to rule out secondary causes of headache is key for the correct diagnosis, she said. “In cases of coin-shaped headache, one should do a detailed neurological exam, consider imaging, check blood pressure, do blood work, and consider exams to exclude autoimmune psoriasis and other disorders as appropriate.”
Migraine Migraine Headache Dermatoses Skin Disorders Skin Diseases Blood Head Trauma Trauma To The Head Spain Spanish Arachnoid Cyst Cyst Of The Arachnoid Board Certification Boards Board Recertification Bones California Computed Tomography CT Ct Scan Hospitals Neuroimaging Pain Psoriasis
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