Pain of highly variable duration, but often chronic, in a small circumscribed area of the scalp in the absence of any underlying structural lesion.

Diagnostic criteria:

A.  Continuous or intermittent head pain fulfilling criterion B
B.  Felt exclusively in an area of the scalp, with all of the following four characteristics:

    1. fixed in size and shape
    2. round or elliptical
    3. 1-6 cm in diameter
    4. sharply-contoured


Headache Classification Committee of the International Headache Society (IHS) (2013). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013; 33: 9-807.


  1. I have had this condition for many,many years with easing of pain on occasions.This present episode has been for 8 weeks.Severe,unrelenting dominates daily thoughts and activities.It wears me out .Some years ago I had an MRI .Which was normal.I am desperate.I have not tried any medication and fearful that I will have this for the rest of my life.Any advice?

    1. The best person to advise you is a UCNS-certified headache specialist. Only a specialist can accurately diagnose your problem and offer you treatment solutions. Headache disorders are serious diseases that require specialized care, and often acute and preventive medical treatment. Don’t avoid seeking medical care out of fear. Many times, the right doctor can offer you solutions that dramatically reduce your symptoms. Check out Finding the Right Doctor for more information.

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