Teaching assistant, 23, claims the Pill caused fluid to build up on her brain 

Kirsty Luckin, 23, from Braintree in Essex, thought she was hungover when she woke with a headache on September 23. She spent five days in hospital where she had a lumbar puncture.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news

Related Links:

A 45-year old HIV patient presented to the hospital with a 1-week history of holocranial headache. He was in regular use of antiretroviral therapy with a CD4 count of 1,128 cells/mm3. The patient complained of soft tissue mass on his frontoparietal region, which was noticed 6 months ago. He denied fever. Radiological examination suggested an osteosarcoma (Fig. 1). Biopsy of the lesion showed chronic granulomatous inflammation with areas of necrosis and fibrosis. Lumbar puncture revealed 13 leucocytes/ µl (87% lymphocytes), protein 93 mg/dl, glucose 53 mg/dl (serum glucose was 139 mg/dl), and VRDL 1:1 (serum 1:128).
Source: International Journal of Infectious Diseases - Category: Infectious Diseases Authors: Tags: Medical Imagery Source Type: research
ConclusionsThe LP protocol described herein may reduce adverse event rates and improve patient comfort in future studies.
Source: Journal of Neurology - Category: Neurology Source Type: research
We report the case of a 44-year-old woman who had undergone a clandestine abortion six weeks before admission. One week later, she had abnormal vaginal discharge. Three weeks prior to admission, headache, hyperpyrexia and mental alteration were added. At admission, a transvaginal ultrasound showed abnormalities of the uterine cavity. Sepsis and endometritis were diagnosed, and a hysterectomy was scheduled. During preoperative evaluation, meningeal signs were found. The first lumbar puncture (LP) showed a lymphomononuclear pleocytosis, hypoglycorrhachia and hyperproteinorrachia. After five days treatment with ceftriaxone, v...
Source: Infezioni in Medicina - Category: Infectious Diseases Tags: Infez Med Source Type: research
Conclusion Increased intracranial pressure (ICP) may follow a depressed fracture over the SSS. It may occur immediately after trauma or later. Surgical decompression with elevation of the depressed segment is indicated. Persistence of manifestations of raised ICP despite elevation of the depressed segment indicates the occurrence of an SSS thrombosis. CSF pressure should be measured to confirm the diagnosis and consider a thecoperitoneal shunt. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - Category: Neurosurgery Authors: Tags: Original Article Source Type: research
In this case report, we describe a unique case of Haemophilus influenzae type A meningitis in a 7-month-old previously healthy girl that presented with an isolated cranial nerve (oculomotor) palsy without other signs and symptoms classically associated with this entity such as fever, meningismus, or a generally ill appearance. Oculomotor nerve abnormalities are rare in pediatrics. Congenital oculomotor palsy is the most common cause followed by trauma, infection, inflammatory conditions, neoplasm, aneurysm or other vascular events, and ophthalmoplegic migraines, respectively. Therefore, had it not been for the unusual magn...
Source: Pediatric Emergency Care - Category: Emergency Medicine Tags: Illustrative Cases Source Type: research
This study suggests that while further research is warranted, cosyntropin is a potential alternative to epidural blood patch for pediatric patients with postdural puncture headache who fail conservative management.
Source: The Clinical Journal of Pain - Category: Anesthesiology Tags: Original Articles Source Type: research
A 43-year-old man presented with progressive headache, nausea, and vomiting for 3  days. He denied head trauma, neck stiffness, blurred vision, and seizure. He was afebrile and had no focal neurologic deficits. A computed tomography (CT) scan of the brain revealed a cord sign in the right occipital area (Figure 1). Lumbar puncture had opening and closing pressures of 26 and 12  cm H2O, respectively, without infection. D-dimer levels were elevated (5.91 mg/L). Brain magnetic resonance venography revealed decreased flow of the superior sagittal and bilateral transverse sinuses (Figure 2).
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Visual Diagnosis in Emergency Medicine Source Type: research
Abstract The American College of Emergency Physicians (ACEP) published guidelines in July 2019 on the diagnosis and management of acute nontraumatic headaches in the emergency department, focusing predominantly on the diagnosis of subarachnoid hemorrhage and the role of imaging and lumbar puncture in diagnosis. The ACEP Clinical Policies document is intended to aide Emergency Physicians in their approach to patients presenting with acute headache and to improve the accuracy of diagnosis, while promoting safe patient care practices. The Clinical Policies document also highlights the need for future research into be...
Source: Headache - Category: Neurology Authors: Tags: Headache Source Type: research
SUMMARY: Patients with spinal muscular atrophy often have complete interlaminar osseous fusion, precluding lumbar puncture via the standard interlaminar approach. Recently, we have developed a new coaxial curved-needle variation of fluoroscopy-guided transforaminal lumbar puncture for intrathecal injections in this patient population. Between October 2017 and November 2018, fifty-nine consecutive transforaminal lumbar punctures using this technique were performed in 12 patients with spinal muscular atrophy for intrathecal nusinersen injection, with a 100% technical success rate and no C1–2 punctures required. One maj...
Source: American Journal of Neuroradiology - Category: Radiology Authors: Tags: INTERVENTIONAL Source Type: research
AbstractPurpose of ReviewPost dural puncture headache (PDPH) is a relatively common complication which may occur in the setting of inadvertent dural puncture (DP) during labor epidural analgesia and during intentional DP during spinal anesthetic placement or diagnostic lumbar puncture. Few publications have established the long-term safety of an epidural blood patch (EBP) for the treatment of a PDPH.Recent FindingsThe aim of this pilot study was to examine the association of chronic low back pain (LBP) in patients who experienced a PDPH following labor analgesia and were treated with an EBP. A total of 146 patients were co...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
More News: Headache | Health | Hospitals | Lumbar Puncture | Migraine | Teaching | Universities & Medical Training