Migraine-Like Headache in Bacterial Meningitis

Lampl, Christian; Yazdi, Kambiz; Buzath, A; Klingler, D

doi:10.1111/j.1468-2982.2000.00110.x

Cited by 16 publications

(10 citation statements)

References 4 publications

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“…In our 4 patients who underwent CSF studies, 3 had disclosed pleocytosis and all had elevated protein levels, which were similar to the results in a recent report, 13 supporting the theory of meningeal inflammation in patients with IHCP, which might result in meningitis‐like headaches. The headache profiles in patients with meningitis can present as throbbing headaches, accompanied by vomiting, phonophobia, or photophobia, similar to migraine attacks 19 . Elevated intracranial pressure was thought to be another possible headache etiology, 13 but this hypothesis is still a supposition due to inconsistent data 13,17 .…”

Section: Commentsmentioning

confidence: 99%

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Headache Profile in Patients With Idiopathic Hypertrophic Cranial Pachymeningitis

Wang¹,

Fuh²,

Lirng³

et al. 2004

Headache

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The headache of IHCP is typically a chronic daily headache, often resembling chronic migraine. Correspondingly, IHCP should be considered in the differential diagnosis of refractory chronic daily headache, with or without associated cranial neuropathy or other associated neurologic deficits. The typical imaging finding on gadolinium-enhanced MRI is localized or diffuse pachymeningitis and failure to order a gadolinium-enhanced MRI is the primary reason for delayed diagnosis. Despite symptomatic improvement on longitudinal follow-up, the MRI abnormalities may not improve in parallel with the clinical symptoms.

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Section: Commentsmentioning

confidence: 99%

“…The headache profiles in patients with meningitis can present as throbbing headaches, accompanied by vomiting, phonophobia, or photophobia, similar to migraine attacks. 19 Elevated intracranial pressure was thought to be another possible headache…”

Section: Commentsmentioning

confidence: 99%

Headache Profile in Patients With Idiopathic Hypertrophic Cranial Pachymeningitis

Wang¹,

Fuh²,

Lirng³

et al. 2004

Headache

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“…Rarely other disorders such as bacterial meningitis, intraventricular tumours and hereditary syndromes like the Stomorken's syndrome, might also present with migraine-like headache [9][10][11]. However these diseases have specific features that aid the diagnosis.…”

Section: Discussionmentioning

confidence: 95%

Migraine-like headache in cerebral venous sinus thrombosis

Tan

Tellioğlu

Koç

et al. 2015

Neurologia i Neurochirurgia Polska

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A 20-year-old female, university student presented with severe, throbbing, unilateral headache, nausea and vomiting that started 2 days ago. The pain was aggravated with physical activity and she had photophobia. She had been taking contraceptive pills due to polycystic ovary for 3 months. Cranial computed tomography was uninformative and she was considered to have the first attack of migraine. She did not benefit from triptan treatment and as the duration of pain exceeded 72 h further imaging was done. Cranial MRI and MR venography revealed a central filling defect and lack of flow in the left sigmoid sinus caused by venous sinus thrombosis. In search for precipitating factors besides the use of contraceptive pills, plasma protein C activity was found to be depressed (42%, normal 70-140%), homocystein was minimally elevated (12.7 μmol/L, normal 0-12 μmol/L) and anti-cardiolipin IgM antibody was close to the upper limit.

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“…Two cases of severe nuchal rigidity and headache secondary to infectious meningitis were treated with injections of sumatriptan with no change in headache 3 . Review of the literature failed to document any human case where sumatriptan was used to treat the headache of SAH.…”

Section: Case Reportmentioning

confidence: 99%

The Headache of SAH Responds to Sumatriptan

Rosenberg¹,

Silberstein²

2005

Headache

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We report the first case of the headache of subarachnoid hemorrhage (SAH) possibly responding to a triptan. Recent evidence suggests that triptans block transmission from the trigeminal nerve to second-order neurons in the trigeminal nucleus caudalis; thus, any meningeal nociceptive process would be aborted. The triptans and ergots are not specific for migraine, but for any process that activates trigeminal fibers, including migraine, cluster headache, SAH, and meningitis. The failure to respond in the reported cases of meningitis may be due to sensitization.

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Migraine-Like Headache in Bacterial Meningitis

Cited by 16 publications

References 4 publications

Headache Profile in Patients With Idiopathic Hypertrophic Cranial Pachymeningitis

Headache Profile in Patients With Idiopathic Hypertrophic Cranial Pachymeningitis

Migraine-like headache in cerebral venous sinus thrombosis

The Headache of SAH Responds to Sumatriptan

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