Clinical Reasoning: A 12-year-old girl with headache and change in mental status
Published Mar 13, 2018 · Payal R. Patel, Ahmara G. Ross, F. Henretig
Neurology
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Abstract
A 12-year-old girl presented to the emergency department with headaches for 1 week in the setting of a 20-pound weight gain over the last year. Headaches were described as severe, throbbing, constant, and occipital, with photophobia, nausea, and vomiting. Pain was worse with standing.
Study Snapshot
Key takeawayA 12-year-old girl with severe, throbbing, constant occipital headaches and a 20-pound weight gain may have a condition called occipital migraines, which may be related to a change in mental status.
PopulationOlder adults (50-71 years)
Sample size24
MethodsObservational
OutcomesBody Mass Index projections
ResultsSocial networks mitigate obesity in older groups.