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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

Published on: June 2, 2014

An unusual case of headache

Victor S H Wang1, Phil Tuch, Christina C K Wang

  • 1Department of Neurology, Royal Perth Hospital, Wellington Street Campus, Box X2213 GPO, 6847, Perth, Australia.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|September 2, 2003
PubMed

We report an unusual case of carcinomatous meningitis presenting as a headache in a previously well woman. It occurs in only 3-5% of solid tumours and is an unusual form of presentation for underlying primary malignancy. This 44-year-old woman initially presented with subacute headache of 3 weeks duration and was treated as migraine, and later thought to have viral meningitis. The diagnosis was made from cytology examination on repeated lumbar puncture of cerebrospinal fluid (CSF). Within a month of onset of symptoms, the patient developed gradually worsening headache, right 6th cranial nerve palsy with associated diplopia as well as refractory generalised tonic-clonic seizures. Treatment included CSF drainage through insertion of Ommaya reservoir, and palliative systemic chemotherapy. Further palliative chemotherapy was withheld upon patient's and family's request. The patient died shortly after initial treatment; 7 weeks after her initial presentation to her general practitioner with headache.

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