Case report: atypical migraine as a sentinel symptom for SARS-COV2 infection
Journal of the Neurological Sciences
; 429, 2021.
Article
in English
| EMBASE | ID: covidwho-1466685
ABSTRACT
Background and aims:
Migraine without aura is the most frequent of the forms of migraines (about 60% - 80% of all forms of migraines). There are many causes that can trigger migraines, including infections (IHS ICDH-3).Methods:
69 year old woman. Professional nurse. Family history of migraine (maternal line). Arising in school age. Diagnosis made according to the IHS ICDH-3 criteria. The patient presented 2–3 crises / month with pulsating pain in the bilateral frontotemporal region, medium-strong intensity, associated with photo-phonophobia, nausea, sometimes vomiting. Duration 24–36 h. Triggering factors menstruation and psychophysical stress. After menopause (49 years) reduction of intensity, duration and frequency with 1–2 cris / month related stress lasting 12–24 h and responsive to NSAID intake. No preventive therapy performed.Results:
On 29.11.2020 episode of atypical headache (described as different from other episodes) with very strong, throbbing, stabbing, burning pain in the bilateral front-temporal region, unresponsive to the intake of NSAIDs. Duration 24 h. No other symptoms reported, apiretic. 30.11.2020 TNF fast +. Molecular TNF positive for SARS COV 2. During the period of infection headache present whenever the patient had fever and was unresponsive to paracetamol.Conclusions:
In our case report, atypical migraine can be considered a sentinel symptom of an initial infection. The patient works as a professional nurse in the ward which had become Covid on 3.11.2020.
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Case report
Language:
English
Journal:
Journal of the Neurological Sciences
Year:
2021
Document Type:
Article
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