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Central Neuropathic Pain: Multiple Sclerosis-Related Headaches

  • Robert Charlson
  • Ilya KisterEmail author
  • Richard Lipton
Chapter
  • 1.6k Downloads
Part of the Headache book series (HEAD)

Abstract

A 32-year-old man presents to his neurologist with a history of new-onset right-sided occipital head and neck pain. His medical history is significant for clinically isolated syndrome, anxiety, and frequent migraine headaches since his early twenties. His migraine headaches occur about three times per month and are heralded by typical visual aura half the time. The pain is unilateral usually on the left, pulsatile, and severe. Headaches are associated with prominent nausea and sensitivity to light. Three years ago, he had an episode of right leg weakness, blurry vision in his left eye, difficulty with depth perception, and pain on lateral eye movements that lasted several weeks. On the basis of his symptoms, neurologic deficits, and imaging, clinically isolated syndrome was suspected at the time and he received a course of IV Solu-Medrol with resolution of his symptoms.

Keywords

Multiple Sclerosis Multiple Sclerosis Patient Trigeminal Neuralgia Migraine With Aura Trigeminal Nucleus Caudalis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Department of NeurologyAlbert Einstein College of MedicineBronxUSA
  2. 2.Department of Neurology, Multiple Sclerosis CenterNew York University School of MedicineNew YorkUSA

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