darkhorse
Forum Elite
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A woman has a new onset seizure. She is thoroughly examined including a CT, LP, and EEG. No findings were abnormal. Two days later, she calls the office with complaints of a headache that developed the day before. She has not been able to get out of bed due to the pain.
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When going gets tough, the tough gets going
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| neuroblastoma
Forum Guru
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malingering
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| drdg
Forum Senior
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why not converion disorder?
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| Kamsi
Forum Guru
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Post LP headache
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| darkhorse
Forum Elite
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The two most important clues to the correct diagnosis is that she recently had an LP, and when she tries to get up from bed the headache worsens. This is acute post-LP, or "hypoliquorric" headache. It is treated with strict flat bedrest for three days; if they are not better at the end of that time an autologous blood patch to the epidural lumbar area by an anesthesiologist is almost always curative. IV or high dose PO caffeine can sometimes help.
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When going gets tough, the tough gets going
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| cool doctor
Forum Junior
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good one Kamsi
I think u r right
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