CEREBRAL VENOUS THROMBOSIS Cerebral venous thrombosis (CVT) most often has a subacute presentation; however, a minority of patients present with thunderclap headache. Headaches are persistent and tend to be worse…
Cerebrospinal fluid is normal or near normal (mild elevations in protein or white blood cells). MRI and CT may be normal, may show features similar to posterior reversible encephalopathy syndrome…
Equally important is the patient presenting with an acute headache and new-associated neurologic symptoms, particularly focal motor or sensory loss, language dysfunction, or encephalopathic symptomatology, such as confusion or seizures….
Patients perceive maxillary sinus pain in the cheek, gums, and upper teeth. Frontal sinus pain tends to involve the forehead, while ethmoid sinusitis causes pain behind or between the eyes….
Signs and symptoms of GCA may begin quite abruptly or sometimes gradually over a number of months before becoming clinically recognizable. Its classic symptoms relate to the inflammation of, and…
Diagnostic criteria include demonstrating elevated intracranial pressure by lumbar puncture, with an opening pressure greater than 200 mm H2O in the nonobese and greater than 250 mm H2O in the…
The low CSF pressure or volume may relate to hypovolemia, overshunting of CSF, or a CSF leak. When the patient is upright, there is traction on the anchoring pain-sensitive structures…
Classic trigeminal neuralgia, also known as tic douloureux, presents as paroxysmal attacks of severe, sharp, or stabbing pain in the cutaneous distribution of one or more divisions of the trigeminal…
Magnetic resonance imaging (MRI), with special attention to this nerve, is indicated to rule out secondary causes, including aberrant blood vessels, multiple sclerosis, or various mass lesions. Medical therapies are…
Commonly, children have periodic syndromes that develop early as precursors to migraine. These periodic syndromes include paroxysmal torticollis of infancy, benign paroxysmal vertigo of childhood, cyclic vomiting syndrome, and abdominal…
