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No, I stopped them. But she returned with anxious parent a couple of days later and they did it then... result normal CT. I found out afterwards.  I think the anxiety was caused because of the different opinions given by doctors.  In my experience, yes it is specific enough. But has anyone seen this written up?
 
Ray McGlone
Lancaster A&E
----- Original Message -----
From: [log in to unmask] href="mailto:[log in to unmask]">Howard Helen & Philippa
To: [log in to unmask] href="mailto:[log in to unmask]">[log in to unmask]
Sent: Monday, August 27, 2001 10:06 PM
Subject: Re: Post Traumatic Headache

Did the surgeons proceed with the scan? Are you saying the clinical findings (sensitivity to percussion on orbital ridge, and alteration of pinprick sensation) are sufficiently specific to rule in supraorbital nerve injury and therefore to rule out subdural?

 

Howard Simpson

Basingstoke

 

-----Original Message-----
From: Accident and Emergency Academic List [mailto:[log in to unmask]] On Behalf Of rmcglone
Sent: 25 August 2001 16:30
To: [log in to unmask]
Subject: Post Traumatic Headache

 

Over the years I've come across many patients returning for an opinion because of headache relating to a blow to the forehead. The blow to the supra-orbital area has injured the supraorbital nerve.

 

Clinical examination reveals the supraorbital nerve to be very sensitive to percussion over the orbital ridge. Sensation is often altered to pin prick on testing the distribution of the nerve.

 

The headache can be so intense that I found a surgical team about to organise a CT scan on a patient some months ago.

 

I have not read about this in any standard textbook, I presume someone has written it up?

 

Regards

 

Ray McGlone

A&E  Lancaster