Migrainous phenomenon precipitated by lumbar puncture headache

This case report describes a patient without personal or family history of migraine or other recurrent headaches who developed a typical lumbar puncture headache leading to a characteristic migrainous visual field deficit. There was no history of analgesic or other medication use or other precipitant, and neither symptom recurred in years of follow-up. The sequence of symptoms suggests that mechanical distortion or irritation of cranial pain-sensitive structures can precede and precipitate the migrainous cortical dysfunction.