Nummular headache is a very rare form of epilepsy.The main characteristics are the intensity of pain and rarity. The case we have described is the third one discovered in Italy, while only 200 cases have been reported worldwide. The response to drugs is not always effective. We treated the patient with a combination of palmitoylethanolamide and topiramate, the treatment was successful and the patient had a significant improvement in headache. Today, after 3 years we report the case, we are describing the course of headache. Three years later, the patient is almost free from painful attacks and shows a qualitatively better life. In addition, the improvement of headache has allowed the reduction of the topiramate, to avoid the appearance of adverse effects.
Nummular headache – three years later: What happened
Chirchiglia, Domenico;La Torre, Domenico
2020-01-01
Abstract
Nummular headache is a very rare form of epilepsy.The main characteristics are the intensity of pain and rarity. The case we have described is the third one discovered in Italy, while only 200 cases have been reported worldwide. The response to drugs is not always effective. We treated the patient with a combination of palmitoylethanolamide and topiramate, the treatment was successful and the patient had a significant improvement in headache. Today, after 3 years we report the case, we are describing the course of headache. Three years later, the patient is almost free from painful attacks and shows a qualitatively better life. In addition, the improvement of headache has allowed the reduction of the topiramate, to avoid the appearance of adverse effects.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
