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Previous Volume 359:2267-2278 November 20, 2008 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

Dr. Adam B. Cohen (Neurology): A 59-year-old man was admitted to the neurology service of this hospital because of chronic daily headache, fever, and myalgia.

Approximately 6 months earlier, the patient had begun having headache, accompanied by muscle spasms, generalized myalgia, weakness, fatigue, difficulty sleeping, and anxiety. The headache was constant, affected both temporal and frontal regions, and was not affected by posture. The temperature rose daily but remained below 37.8°C. Five months before admission to this hospital, he saw his internist at another hospital. The physical examination was normal. Amitriptyline at bedtime was prescribed, without improvement. The patient took . . . [Full Text of this Article]

Differential Diagnosis

Chronic Daily Headache

Neoplasm

Headache Due to Low Cerebrospinal Fluid Pressure

Idiopathic Hypertrophic Pachymeningitis

Pachymeningitis Due to Infection

Rheumatologic Diseases and Pachymeningitis

Clinical Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Departments of Neurology (S.D.B.), Medicine (M.L.D., J.H.S.), Radiology (J.W.C.), and Pathology (J.R.S.), Massachusetts General Hospital; and the Departments of Neurology (S.D.B.), Medicine (J.H.S.), Radiology (J.W.C.), and Pathology (J.R.S.), Harvard Medical School.

Related Letters:

Case 36-2008: A Man with Chronic Daily Headache
Mwaisela F. J., Warrington K. J., Matteson E. L., Stone J. H., Brass S. D., Stone J. R.
Extract | Full Text | PDF  
N Engl J Med 2009; 360:1153-1155, Mar 12, 2009. Correspondence

This article has been cited by other articles:

• Mwaisela, F. J., Warrington, K. J., Matteson, E. L., Stone, J. H., Brass, S. D., Stone, J. R. (2009). Case 36-2008: A Man with Chronic Daily Headache. NEJM 360: 1153-1155 [Full Text]