Typical migraine or ophthalmologic emergency?. 

 -  2012 
<br/><br/>Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006 
<br/><br/> We describe the case of a 47-year-old woman who came to the emergency department (ED) complaining of worse than typical migraine headache and blurry vision after recently doubling the dose of topiramate earlier that day. After complete neurologic and ophthalmologic evaluation, she was found to have elevated intraocular pressures and was diagnosed with topiramate-induced bilateral acute angleclosure glaucoma, which is a rare side effect of this commonly prescribed medication. She was treated with timolol, brimonide, and prednisolone drops to reduce intraocular pressure as well as cessation of topiramate and was discharged home. This report briefly discusses the clinical history, appropriate evaluation, differential diagnosis, and approach to secondary acute angle-closure glaucoma in the ED. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>0735-6757 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Glaucoma, Angle-Closure/di [Diagnosis]<br/>*Migraine Disorders/di [Diagnosis]<br/>Emergency Service, Hospital<br/>Female<br/>Fructose/aa [Analogs & Derivatives]<br/>Fructose/ae [Adverse Effects]<br/>Fructose/tu [Therapeutic Use]<br/>Glaucoma, Angle-Closure/ci [Chemically Induced]<br/>Humans<br/>Intraocular Pressure/de [Drug Effects]<br/>Middle Aged<br/>Migraine Disorders/dt [Drug Therapy]<br/>Neuroprotective Agents/ae [Adverse Effects]<br/>Neuroprotective Agents/tu [Therapeutic Use]
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Washington Hospital Center
<br/><br/><label>Index Terms--Occupation: </label><br/>Emergency Medicine
<br/><br/><label>Index Terms--Function: </label><br/>Case Reports<br/>Journal Article