title: Atypical migraine presenting with meningeal signs.
abstract: A case of atypical or complicated migraine is presented with signs and symptoms of meningeal irritation, projectile emesis NS obtundation, and unresponsiveness. The patient is a 19-year-old diabetic on insulin who had a mild episode of upper respiratory tract symptoms with severe headache and was found unresponsive and brought to the emergency department. After a work-up for meningitis was negative (as well as computerized tomography and magnetic resonance imaging) he recovered totally in 3 days with no residual signs or symptoms and was discharged from the hospital.
authors.affiliation: Ashtabula County Medical Center, OH 44004.
authors.forename: A
authors.initials: A
authors.lastname: Ulhaq
authors.forename: W
authors.initials: W
authors.lastname: Massarweh
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008581:Meningitis / Q000175:diagnosis*; D008881:Migraine Disorders / Q000175:diagnosis*