Purpose of Review

The purpose of this manuscript is to shed light on systematic work-up of a diagnostic challenge such as nummular headache (NH), and to summarize the relevant literature on NH.

Recent Findings

The specific nature of the shape of the pain site is usually characteristic of NH. Multiple modalities of investigation including succinct imaging are necessary to successfully rule out other similar conditions.

Summary

A 26-year-old female patient of Asian-Indian origin presented to the clinic with the chief complaint of chronic persistent left parietal headache for more than 10 years, which has been worsening over the past few days with no specific identifiable trigger. The diagnosis of nummular headache is challenging and confusing due to the rare occurrence and inadequate references in the literature. Appropriate imaging was done, which revealed no pathology that could explain the headache presentation. These findings are consistent with our diagnosis of nummular headache, and helped in the successful management of the case.

中文翻译：

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麻木性头痛 - 一个罕见实体的病例报告

审查目的

这份手稿的目的是阐明对诸如麻木性头痛 (NH) 等诊断挑战的系统处理，并总结关于 NH 的相关文献。

最近的发现

疼痛部位形状的特定性质通常是 NH 的特征。包括简洁成像在内的多种调查方式对于成功排除其他类似情况是必要的。

概括

一名 26 岁的亚裔印度裔女性患者以慢性持续性左顶头痛 10 多年为主要主诉就诊，在过去几天中一直在恶化，没有具体的可识别诱因。由于文献中的罕见发生和参考不足，麻木性头痛的诊断具有挑战性和混淆性。进行了适当的成像，结果显示没有病理可以解释头痛的表现。这些发现与我们对麻木性头痛的诊断一致，并有助于病例的成功处理。