Background: Migraine headache (MHA) is a common pediatric disorder, which frequently leads to hospital admission. Inpatient MHA treatment involves ever-increasingly complex treatment plans, including fluid resuscitation and a variety of medications. Severe Migraine headache may require more aggressive therapy such as dihydroergotamine (DHE) and sphenopalatine ganglion (SPG) block that may prolong hospital stay and increase [...]

Case Presentation: A 27-year-old pregnant woman with no significant medical history presented to the hospital in labor and underwent spontaneous vaginal delivery. Shortly after epidural analgesia and delivery of her child, she started having a severe, shooting headache radiating from her back to her temporal and frontal regions. She reported that the headache was worse [...]

Case Presentation: A 53-year-old female with no medical history presented with worsening mental status for 3 months. All history was given by family. Three months prior to presentation she began experiencing a generalized, persistent headache. A neurologist prescribed nortriptyline for presumed migraines, with improvement. In the month prior to presentation, the patient had become less [...]

Case Presentation: A 73-year-old male with a medical history of hypertension presented with vomiting of 5 days. Vomitus was non-bloody, non-bilious in nature and was associated with headache. The headache was sudden in onset, bifrontal, 8/10 on a numerical rating pain scale.Initial vitals were remarkable for BP of 68/54 mm Hg which improved to 94/55 [...]

Case Presentation: 23-year-old female was admitted with thunderclap headaches of 2 days. She had a history of quadriplegia and autonomic dysreflexia from a remote cervical spinal cord injury and has been on midodrine for 2 years. She also reported blockage of the urinary catheter and experienced recurrent headaches when she attempted to flush the catheter. There [...]

Case Presentation: Intracranial subdural hematoma (ISH) is a rare and fatal complication of spinal anesthesia (SA); therefore a high index of suspicion for ISH should be considered when a case of suspected postdural puncture headache (PDPH) does not improve with conservative management. A 36-year-old female presented to the emergency room complaining of worsening headache of [...]

Case Presentation: 35-year-old female with past medical history of mitochondrial disease, asthma, Fanconi syndrome, diabetes mellitus, and GERD presented to the hospital with a four-day history of dyspnea due to Rhinovirus seen on respiratory panel. The patient was managed in the intensive care unit for non-invasive ventilation support, and received solumedrol, albuterol, ipratropium, and azithromycin. [...]