Clinical Reasoning: Unusual headaches

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Clinical reasoning: Unusual headaches.

Maria Joana Osorio, MD Poonam Bhatia, MD Giulio Zuccoli, MD Deborah Holder, MD SECTION 1 A 14-year-old girl presented to the neurology clinic complaining of headaches. She described her headaches as mild (intensity 3/10), holocranial, and pounding in character. There was no nausea or vomiting, or photophobia or phonophobia. The patient described in detail a sequence of symptoms from the onset o...

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Unusual headaches

Headaches presented with unusual manner like cough, exertion, and sex, poses a diagnostic challenge in the emergency room or primary care provider's office. The majority of these patients have no underlying intracranial pathologic condition and have a good prognosis. Since the pathophysiology is poorly understood, treatment choices are limited. Further research is needed to elucidate the pathop...

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Clinical Reasoning: an unusual cause of multiple cranial nerve impairment.

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Clinical reasoning: an unusual case of subacute encephalopathy.

SECTION 1 A 52-year-old previously healthy man presented with 8 months of progressive cognitive decline. He complained of months of confusion, fatigue, depression, hypersomnolence, headaches, and, subsequently, urinary incontinence and unsteady gait. His family reported that he spoke of his deceased mother as if she were alive. His executive deficits progressed, leading to termination of his em...

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ژورنال

عنوان ژورنال: Neurology

سال: 2011

ISSN: 0028-3878,1526-632X

DOI: 10.1212/wnl.0b013e3182343286