Background: Migraine headache (MHA) is a common pediatric disorder, which frequently leads to hospital admission. Inpatient MHA treatment involves various medications, including a combination of fluids, antiemetics, non-steroidal anti-inflammatory drugs, steroids, and anti-convulsants. Severe or recalcitrant headache may require more aggressive therapies, including dihydroergotamine (DHE). Opiates are not recommended in the treatment of MHA; however [...]

Case Presentation: A 56-year-old Caucasian male with no pertinent medical history presented with 4 months of progressive left lower extremity weakness, gait instability, headache, and an 8-lb weight loss. Physical exam was notable for left leg spasticity, positive left Babinski sign, and asymmetric dysmetria on heel to shin on his left compared to his right [...]