Sumatriptan was developed as an agent for the treatment of acute migraine. However, sumatriptan may alleviate not only migraine headache, but also headache of subarachnoid hemorrhage and meningitis. We report 2 patients whose migraine-like headache on presentation was relieved by subcutaneous sumatriptan. Later, both patients were diagnosed with aseptic meningitis.

No abstract

Brain arteriovenous malformations (BAVM) are congenital vascular lesions consisting of direct arterial to venous connection without a capillary network. They occur in 0.1% of the population, most commonly in the supratentorial region. Aneurysm, intracranial hemorrhage and stroke are the major complications. We present 2 cases two cases of high grade incidental BAVM. A thorough evaluation of the lesion and the risks of surgical intervention determine the appropriate management.

Paroxysmal neuropathic pain is an uncommon complaint among pediatric patients visiting the emergency department. It is a rare presentation in children with syringomyelia. Patients with syringomyelia may present with a variety of pain symptoms. It is the site and extension of the syrinx, which determines the character of pain. We report an adolescent with Chiari malformation type 1 with syringomyelia who presented with neuropathic pain, dysesthesia, and absent triceps (C7) reflex. The pertinent literature is reviewed.