I don't know about meningitis, but about 20 years ago near the beginning of my career I had an adult patient come in with her 'usual migraine', but one which would not resolve with her usual triptan. She said that chlorpromazine always worked when the triptan failed. 30 minutes later she went home headache free after CPZ. Evidently overnight the headache recurred, and the next day she went to her neurologist who tapped her in the office for obvious xanthochromia. Go figure. The take home message for me is that rarely anything can present with, or act like, anything else, and there is no way to know that for sure without re-working up every presentation (which you really can't do).
On 2010-04-08, at 6:48 35AM, Joe Nemeth, Mr wrote:
> Anyone have good (any?) evidence that a dose of metoclopramide would/could resolve the headache associated with BACTERIAL meningitis?
> Joe Nemeth MD
> Emergency Medicine
> Montreal General Hospital
> Assistant Professor
> Montreal Children's Hospital
> McGill University Health Centre
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