Article ; Online: Nummular headache responsive to anti-calcitonin gene-related peptide monoclonal antibodies in a patient with migraine.
2022 Volume 62, Issue 8, Page(s) 1063–1066
Abstract: Background: Nummular headache (NH) is defined by the presence of localized pain circumscribed to a round or elliptical area of the scalp, with a well-defined contour and a diameter of 1-6 cm. Although some evidence supports a peripheral mechanism, its ... ...
Abstract | Background: Nummular headache (NH) is defined by the presence of localized pain circumscribed to a round or elliptical area of the scalp, with a well-defined contour and a diameter of 1-6 cm. Although some evidence supports a peripheral mechanism, its etiopathogenesis remains unclear. Case: We report the case of a 64-year-old man with high-frequency episodic migraine who has used topiramate, beta-blockers, flunarizine, and amitriptyline without effect. In the last 8 years he also had continuous pain in an oval area of the scalp, consistent with NH. Triptans were ineffective for this new pain, and preventive therapy with gabapentin and onabotulinumtoxinA in the painful area had no effect. NH remitted when the patient received monthly treatment with subcutaneous galcanezumab for his migraine. Conclusions: Monoclonal antibodies against calcitonin gene-related peptide (CGRP), in particular galcanezumab, might be an effective therapy in some patients with NH. CGRP may have a role in the etiopathogenesis of this headache, which warrants further investigation. |
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MeSH term(s) | Antibodies, Monoclonal/therapeutic use ; Calcitonin Gene-Related Peptide ; Headache ; Humans ; Male ; Middle Aged ; Migraine Disorders/drug therapy ; Migraine Disorders/prevention & control ; Pain ; Treatment Outcome |
Chemical Substances | Antibodies, Monoclonal ; Calcitonin Gene-Related Peptide (JHB2QIZ69Z) |
Language | English |
Publishing date | 2022-08-26 |
Publishing country | United States |
Document type | Case Reports ; Journal Article |
ZDB-ID | 410130-3 |
ISSN | 1526-4610 ; 0017-8748 |
ISSN (online) | 1526-4610 |
ISSN | 0017-8748 |
DOI | 10.1111/head.14372 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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