Monthly Archives: April 2012

Phenothiazines in Treating Acute Migraine

Headaches are a very common cause of presentation to the emergency department, and after a careful history and physical, many of these patients have pain consistent with a migraine.  Most of us have our own “migraine cocktail” which includes a … Continue reading

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Baclofen Withdrawal

Baclofen is a derivative of γ-amino-butyric- acid (GABA) and can be given intrathecal or enterally. Although both routes can result in baclofen withdrawal this post will focus on intrathecal baclofen (ITB) withdrawal. ITB is administered by an implantable pump. Problems … Continue reading

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Normal Pressure Hydrocephalus

Normal pressure hydrocephalus (NPH) occurs in the elderly and is a progressive cognitive deterioration, gait apraxia/imbalance, and urinary incontinence associated with hydrocephalus with normal cerebrospinal fluid (CSF) pressure on lumbar puncture. It is thought of as a treatable dementia, the … Continue reading

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Trigeminal Neuralgia

Trigeminal neuralgia is a pain syndrome involving the V2 and V3 branches of the trigeminal nerve, possibly with spasms or tics.  The pain is episodic, lasting only seconds to minutes but very intense.  Many patients describe this as an electric … Continue reading

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