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Nummular headache secondary to an intracranial mass lesion


Dra. Amparo Guillem, Department of Neurology, HGU Gregorio Marañon, Dr Esquerdo, 46, 28007 Madrid, Spain. Tel. + 34 9 1586 8339, fax + 34 9 1413 4273, e-mail


Nummular headache is a coin-shaped, chronic cephalalgia usually considered to stem from epicranial tissues. We describe a patient complaining of circumscribed pain in the head as the only symptom of a subtentorial meningioma. This observation underlines the need to revise the concept of circumscribed, referred pains in the head arising from pain-sensitive intracranial structures.