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CNS-ICNA 2020

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Could a beta blocker beat nummular headache?

Takeaway

  • Nummular headache (NH) is often characterized by moderate-to-severe pain, sensory dysfunction and suboptimal therapeutic response; metoprolol shows promise in the long-term management of poor responders to initial treatment.

Why this matters

  • NH is a poorly understood and painful disorder, with an unestablished treatment algorithm; findings supporting the efficacy of metoprolol may offer a solution to poorly managed patients.

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