Case 35-1985

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Abstract
Presentation of CaseA 30-year-old woman was admitted to the hospital because of progressive encephalopathy.There was a history of "migraine headaches" since childhood, with premenstrual exacerbations; the headaches improved when a hysterectomy was performed 10 months before entry because of dysmenorrhea and menorrhagia. Three years before admission there was the abrupt onset of a severe occipital headache with nausea and vomiting, for which she was seen at another hospital and treated with intramuscularly administered meperidine. She was otherwise well until three weeks before entry, when she experienced another severe occipital headache of abrupt onset, with nausea, vomiting, abdominal cramps, . . .

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