The usefulness of testing head and neck muscle tenderness and neck mobility in acute headache patients.

The aim of this study was to investigate the diagnostic value of pericranial muscle tenderness (PT) and neck mobility assessment in differentiating primary from secondary headache in patients with acute headache, when life-threatening conditions like subarachnoid haemorrhage (SAH) and meningitis have been ruled out. Two neurologists made diagnoses independently, placing patients in either a primary or a secondary headache group. Patients without SAH or meningitis were examined for PT and neck mobility by a single examiner.

[Headache with transient neurologic deficits and lymphocytosis in the cerebrospinal fluid].

Background: Patients with episodes of headache associated with transient neurologic deficits and lymphocytes in the cerebrospinal fluid have been reported over the last two decades.

Material And Methods: We present five patients without a prior history of migraine who experienced a limited series of 1-10 episodes of headache associated with transient neurologic deficits and lymphocytosis ranging from 85 to 500 x 10(6)/l in the cerebrospinal fluid.

Results: Some patients had elevated protein levels in the cerebrospinal fluid and focal EEG pathology.