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Migrainous phenomenon precipitated by lumbar puncture headache
1Department of Neurology, Beth Israel Hospital, Boston.
This case report describes a patient without personal or family history of migraine or other recurrent headaches who developed a typical lumbar puncture headache leading to a characteristic migrainous visual field deficit. There was no history of analgesic or other medication use or other precipitant, and neither symptom recurred in years of follow-up. The sequence of symptoms suggests that mechanical distortion or irritation of cranial pain-sensitive structures can precede and precipitate the migrainous cortical dysfunction.
This case report describes a patient without personal or family history of migraine or other recurrent headaches who developed a typical lumbar puncture headache leading to a characteristic migrainous visual field deficit. There was no history of analgesic or other medication use or other precipitant, and neither symptom recurred in years of follow-up. The sequence of symptoms suggests that mechanical distortion or irritation of cranial pain-sensitive structures can precede and precipitate the migrainous cortical dysfunction.