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Botulinum A toxin injections reduced pain and promoted hair regrowth in a woman with a rare form of alopecia areata.

This case report describes a 33-year-old woman whose unilateral occipital pain and localized alopecia were only responsive to onabotulinumtoxin A, suggesting it might be a form of cephalalgia alopecia or nummular headache.

This review discusses conventional and alternative treatments for trigeminal autonomic cephalalgias, including cluster headache, paroxysmal hemicrania, and SUNCT, and recommends specific medications without reporting new clinical findings.

In this study, botulinum toxin type A did not improve clinical features in patients with recalcitrant alopecia totalis or alopecia universalis over a four-month period.