acyclovir and Migraine-Disorders

Topics: Acyclovir; Adult; Encephalitis, Herpes Simplex; Female; Herpes Simplex; Humans; Magnetic Resonance Imaging; Migraine Disorders; Paralysis; Stroke; Young Adult

While evidence-based medicine may be trumpeted by zealots, managers and politicians, incorporating it into clinical practice is easier said than done. The present article aims to show that it can be achieved and gives some clinical examples to illustrate this. An appendix contains a summary of useful databases and websites for accessing good medical information and evidence, quickly and reliably near the bedside.

Topics: Acyclovir; Adult; Chest Pain; Colchicine; Diagnosis, Differential; Emergency Medicine; Evidence-Based Medicine; Female; Ginkgo biloba; Gout Suppressants; Herpes Zoster; Humans; Male; Migraine Disorders; Myocardial Infarction; Pericarditis; Phytotherapy; Plant Preparations; Troponin

Pseudomigraine with temporary neurological symptoms and lymphocytic pleocytosis is a rare syndrome resolving within less than 3 months.. A young 17-year-old woman without previous medical history was admitted to the hospital because of right motor weakness and language disturbances. The symptoms resolved in a few hours and were followed by severe left headaches with important vegetative signs. Several similar episodes were noted in the previous 10 days. Cranial MRI was normal. EEG showed important slowing of the cerebral electrogenesis. More than 250 lymphocytic cells were found at CSF analysis. Outcome was spontaneously favorable, without similar symptoms after 6-month follow-up.. Pseudomigraine with lymphocytic pleocytosis seems to be a particular syndrome of unknown origin. This is an elimination diagnosis, generally with a benign course.

Topics: Acyclovir; Adolescent; Antiviral Agents; Brain; Cognition Disorders; Diagnosis, Differential; Electroencephalography; Female; Humans; Lymphocytosis; Magnetic Resonance Imaging; Migraine Disorders

Topics: Acyclovir; Adolescent; Antiviral Agents; Diagnosis, Differential; Electroencephalography; Encephalitis, Varicella Zoster; Fever; Headache; Herpes Zoster; Humans; Male; Migraine Disorders; Photophobia; Vomiting