The patient is a healthy 66-year-old man with no previous headache history. He acutely developed a sharp, intermittent, retro-orbital pain, traveling into his left eye. There was no preceding head trauma, unusual physical exertion, seasonal allergies, or sinus disease. His right face was unaffected. The pain could also travel to the left occipital region. He denied any tearing or discharge from...

introduction gastric emphysema or pneumatosis is a rare finding. early endoscopy and urgent laparotomy is advised in post trauma patients. case presentation a 29 year old man presented with blunt abdominal injury following a high-speed motorbike crash he complained of abdominal pain and abdomen was distended. ct abdomen revealed air in the gastric wall with disruption of gastric mucosa. he had ...

BACKGROUND Intracranial abscesses are rare and life-threatening conditions that typically originate from direct extension from nearby structures, hematogenous dissemination or following penetrating cerebral trauma or neurosurgery. FINDINGS A 36-year-old male presented to our emergency department with complaints of left eye swelling, headache and drowsiness. On physical exam, the patient was f...

Lumbar puncture (LP) is a common procedure in various medical specialties to aid in diagnosis, despite the relatively high occurrence of complications, of which postLP headache is most notable. Ultrasonography, as an adjuvant to osseous palpation, may increase the success rate and decrease the rate of post-LP headache. Through a retrospective chart review of all patients who underwent an LP in ...

We present a case of post-traumatic headache complicated by intracranial hypotension resulting in an acquired Chiari malformation and myelopathy with syringomyelia. This constellation of findings suggest a possible series of events that started with a traumatic cerebral spinal fluid (CSF) leak, followed by descent of the cerebellar tonsils and disruption of CSF circulation that caused spinal co...

BACKGROUND This is an update of the original Cochrane review first published in Issue 1, 2003, and previously updated in 2009 and 2012. Chronic pain affects many children, who report severe pain, disability, and distressed mood. Psychological therapies are emerging as effective interventions to treat children with chronic or recurrent pain. This update focuses specifically on psychological ther...

Social network as a moderator between trauma exposure and post-trauma symptomatology was studied. Two samples--relief workers and UN soldiers--were assessed on trauma exposure, social network and three dependent measures related to post-trauma reactions. Regression analysis and interaction plots were used to determine the presence of interaction effects between trauma exposure and social networ...

Concussions are common in the athlete population. They occur after a trauma to head and can lead loss of consciousness. Patients suffering from concussion commonly present with confusion, amnesia headache context recent trauma. The approach this pathology consists making clinical diagnosis, ruling out life-threatening complications such as fractures intracranial hemorrhages educating patient on...

We report two unusual cases of postural, post-dural puncture upper thoracic interscapular backache, without headache, that were relieved by epidural blood patching. There is controversy concerning the aetiology of headache associated with the post-dural puncture syndrome. Mechanisms previously proposed have included traction on pain-sensitive intracranial structures such as the dura or blood ve...