A 66-year-old woman was found unresponsive after complaining of severe headache several days prior. She was comatose upon initial evaluation and a cranial CT revealed diffuse subarachnoid hemorrhage. A right posterior communicating artery aneurysm (figure, A, arrow) was successfully treated with endovascular embolization. Conventional angiography performed 7 days following ventriculostomy place...

A 53-year-old patient presented with acute headache. CT and intra/extracranial CT angiography were normal. A traumatic lumbar puncture showed 8,500 erythrocytes/mm and 24 leukocytes/mm. MRI showed extensive sulcal fluid-attenuated inversion recovery (FLAIR) hyperintensities suggesting subarachnoid hemorrhage (figure). However, since T2*-weighted sequences were normal and the patient was wearing...

Arteriovenous malformation (AVM) of the scalp is an uncommon entity. Its management is difficult because of its high shunt flow, complex vascular anatomy, and possible cosmetic complications. The etiology of scalp AVMs that is, cirsoid aneurysm may be spontaneous or traumatic. Clinical symptoms frequently include pulsatile mass, headache, local pain, tinnitus; and less frequently, hemorrhage an...

headache is a common symptom that constitutes a major health problem to all countries in the world. this study was conducted to estimate the prevalence of migraine and tension -type headaches(tth), its associated occupational risk factors among shiraz hospitals staffs, and to report on clinical characteristics of migraine and tth with using the international headache society (ihs) diagnosis cri...

This was an observational study of a cohort of 63 Operation Iraqi Freedom/Operation Enduring Freedom veterans with mild traumatic brain injury (mTBI) associated with an explosion. They had headaches, residual neurological deficits (NDs) on neurological examination, and posttraumatic stress disorder (PTSD) and were seen on average 2.5 years after their last mTBI. We treated them with sleep hygie...

Traumatic brain injury (TBI) is a common injury in the U.S. Compared to the general population, military service members can be at increased risk for TBI because of the nature of their work. Sequelae of TBI, such as headache or migraine, can lead to military duty limitations or separation from service. To determine whether the severity of TBI is associated with the risk of these sequelae, this ...

Subclavian Artery Thrombosis (SAT) typically arises secondary to some form of injuries and arthrosclerosis. The contributing factors are coagulopathies and emboli. And, the conserving blood is naturally reflowed from circle of Willis. A cold, painful, cyanosis, and pulseless upper extremity are proved as the symptoms. Recently, a 42-years-old smoker, diabetic, and hyperlipidemic woman was admit...

This article presents a case that highlights the importance of excluding underlying intracranial pathology in patient presenting with severe headache and positive xanthochromia. report demonstrated false-positive xanthochromia without subarachnoid haemorrhage (SAH) is possible acute bacterial meningitis when there combination traumatic lumbar puncture either hyperbilirubinaemia or raised cerebr...

Spinal cord injury (SCI), in addition to motor and sensory problems, may also lead autonomic dysfunction. Postural orthostatic tachycardia syndrome (POTS) is one of them has often been reported traumatic brain injuries, multiple sclerosis, other spinal pathologies. However, there not much data on POTS SCI even extensive databases. We present a case an adolescent female with paraplegia due SCI. ...