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consciousness disorders/kopfschmerz
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Pituitary Apoplexy Presenting as Ophthalmoplegia and Altered Level of Consciousness without Headache.
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Background. Pituitary apoplexy (PA) is a clinical syndrome caused by acute ischemic infarction or hemorrhage of the pituitary gland. The typical clinical presentation of PA includes acute onset of severe headache, visual disturbance, cranial nerve palsy, and altered level of consciousness. Case
[Headache, spasm and consciousness disorder: (the upper sagittal sinus thrombosis)].
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Headache in cerebral venous thrombosis associated with extracranial tumors: a clinical series.
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Cerebral venous thrombosis (CVT) may represent the clinical onset of malignancies or complicate their course, also in phase of quiescence. In literature, there are several case reports on the association between CVT and tumors, but there are few articles on its clinical characteristics in cancer
Prodromal headache in anti-NMDAR encephalitis: An epiphenomenon of NMDAR autoimmunity.
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OBJECTIVE
To investigate the nature of prodromal headache in anti-NMDA receptor (NMDAR) encephalitis.
METHODS
Retrospective review of the clinical information of 39 patients with anti-NMDAR encephalitis admitted between January 1999 and September 2017. Five patients with an atypical presentation
Spontaneous Intracranial Hypotension: An Etiology for Consciousness Disorder and Coma.
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We report 3 cases of spontaneous intracranial hypotension (SIH) associated with consciousness disorder and coma. In patients, SIH was suspected on a computed tomography scan and diagnosed by cerebral magnetic resonance imaging (MRI). Spinal MRI confirmed cerebrospinal fluid leakage. SIH should be
A non-traumatic interhemispheric subdural haematoma: presented with headache as the sole complaint.
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Due to their localisations and symptoms, interhemispheric subdural haematomas (ISH) compose a distinct category. Altered level of consciousness and hemiparesis are the most frequent symptoms. We report a case of ISH who presented with headache as the sole complaint. Left cerebellar haematoma and ISH
New clinical decision rule to exclude subarachnoid haemorrhage for acute headache: a prospective multicentre observational study.
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To ensure good outcomes in the management of subarachnoid haemorrhage (SAH), accurate prediction is crucial for initial assessment of patients presenting with acute headache. We conducted this study to develop a new clinical decision rule using only objectively measurable predictors to exclude SAH,
Secondary Headaches During Pregnancy: When to Worry.
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Management of patients with spontaneous intracranial hypotension causing altered level of consciousness: report of two cases and review of literature.
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BACKGROUND
Decreased level of consciousness is a rare neurological manifestation of spontaneous intracranial hypotension (SIH), which typically presents with orthostatic headache. The optimal management of this uncommon presentation remains uncertain.
METHODS
We analyzed the presentation, management
Deep venous structures distortion in spontaneous intracranial hypotension as an explanation for altered level of consciousness.
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Spontaneous intracranial hypotension (SIH) is a syndrome of low pressure headache associated with low CSF pressure. The condition is generally considered benign but extreme cases of SIH can lead to changes in the level of consciousness. We describe a case in which alteration in the level of
Deep venous structures distortion in spontaneous intracranial hypotension as an explanation for altered level of consciousness.
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Spontaneous intracranial hypotension (SIH) is a syndrome of low pressure headache associated with low CSF pressure. The condition is generally considered benign but extreme cases of SIH can lead to changes in the level of consciousness. We describe a case in which alteration in the level of
[Seizure-free paroxysms in epilepsy and migraine].
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Fourty epileptic and 66 migraine patients were examined. The differences in clinical features of headache paroxysms, consciousness disorders, psycho-sensory++, viscero-autonomic++ and affective spells were determined. The elements of confused consciousness, short-lived and local autonomic responses
Pneumocephalus and seizures following epidural steroid injection.
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We describe a patient with pneumocephalus following an epidural steroid injection (ESI) who presented with altered mental status, headache, focal neurologic findings and seizures. Pneumocephalus has rarely been described following ESI. A 34-year-old female presented with an altered level of
Desmopressin toxicity due to prolonged half-life in 18 patients with nocturnal enuresis.
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OBJECTIVE
Desmopressin has been used extensively for primary nocturnal enuresis and it is associated with a low incidence of adverse effects. The only reported serious side effect is seizure or altered levels of consciousness resulting from water intoxication, which has been reported for the nasal
Neuropsychiatric systemic lupus erythematosus with cerebellar vasculitis and obstructive hydrocephalus requiring decompressive craniectomy
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A 36-year-old woman who had been diagnosed with systemic lupus erythematosus (SLE) was admitted to our hospital due to increasing disease SLE activity. Despite the intensification of immunosuppressive treatment, headache newly developed and worsened. Magnetic resonance imaging revealed spreading of
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