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Roller Coaster Migraine: An Underreported
A 28-year old woman presented with severe headache, sleep problems, memory
problems and irritability 2 months after a violent roller coaster ride. She was
diagnosed with posttraumatic migraine, and intravenous dihydroergotamine resolved
her symptoms. Imaging studies, electroencephalogram, and visual and auditory
evoked responses were normal. Imipramine, divalproex sodium, and propranolol were
prescribed to prevent the headaches from recurring and dihydroergotamine nasal
spray was prescribed for breakthrough headaches. We consider the many short but
significant brain insults delivered during the roller coaster ride a critical
factor in triggering this instance of posttraumatic migraine, which while unmanaged
was a source of significant disability for the patient.
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