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Case 12 - Recurrent Acute Headaches

from Section 2 - Headache and Pain

Published online by Cambridge University Press:  27 July 2023

Mark McCarron
Affiliation:
Ulster University
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Summary

A 59-year-old woman developed symptoms of a chest infection. She had not taken any medication for this. She woke at midnight and felt that she had to cough as she felt that she had choked. She had a burning chest pain radiating into her arms and head. A severe headache developed but became worse throughout the night, particularly when she repeatedly coughed. She was nauseated. Ten hours after headache onset, she was admitted to hospital. There her headache worsened, with at least three separate thunderclap exacerbations. Attempted defecation also worsened the headache. Prior to this episode, she had no history of headache.

Type
Chapter
Information
55 Cases in Neurology
Case Histories and Patient Perspectives
, pp. 79 - 84
Publisher: Cambridge University Press
Print publication year: 2023

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References

Ducros, A. Reversible cerebral vasoconstriction syndrome. Lancet Neurol. 2012;11(10):906–17.CrossRefGoogle ScholarPubMed
Calabrese, LH, Dodick, DW, Schwedt, TJ, Singhal, AB. Narrative review: reversible cerebral vasoconstriction syndromes. Ann Intern Med. 2007;146(1):3444.CrossRefGoogle ScholarPubMed
Magid-Bernstein, J, Omran, SS, Parikh, NS et al. RCVS: symptoms, incidence, and resource utilization in a population-based US cohort. Neurology. 2021;97:e248–53.CrossRefGoogle Scholar
Rocha, EA, Topcuoglu, MA, Silva, GS, Singhal, AB. RCVS2 score and diagnostic approach for reversible cerebral vasoconstriction syndrome. Neurology. 2019;92(7):e639–47.CrossRefGoogle ScholarPubMed

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