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Aseptic Inflammatory Meningeal Reaction Manifesting as a Migrainous Syndrome
Author(s) -
Stamboulis Eleftherios,
Spengos Michael,
Rombos Andonis,
Haidemenos Alexandros
Publication year - 1987
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.1987.hed2708439.x
Subject(s) - migraine , nausea , medicine , meninges , aseptic meningitis , pleocytosis , confusion , anesthesia , csf pleocytosis , vomiting , headaches , pediatrics , surgery , psychiatry , psychology , meningitis , psychoanalysis
SYNOPSIS A female aged 24 years, without any previous personal and family history of migraine, presented with migrainous attacks characterized by headache, dizziness and nausea, accompanied by sensory, motor, visual and aphasic disturbances. The duration of the attacks ranged from 10–30 minutes, except for one episode which was accompanied by confusion and excitation and which lasted for many hours. The attacks recurred for approximately 6 weeks during which the condition of the patient was excellent between attacks. The patient recovered completely and in two years of follow‐up has not had any further migrainous attacks. The C.S.F. showed a predominantly lymphocytic pleocytosis and increased protein. A “symptomatic” migraine condition stemming from an inflammatory reaction of the meninges is thus suggested.