Persistent @entity10 without XXXX : which treatment?

@entity1 @entity146 @entity542 @entity5173 @entity2794 @entity158 @entity10 @entity551
@entity10 can be the leading symptom of @entity551 , however, not all @entity10 are due to @entity5173 and these forms can be a clinical problem, especially for treatment. Aim of this study was to review @entity1 with persistent @entity10 in whom a detailed head and spinal MRI follow-up did not reveal any sign of @entity551 and to evaluate which treatment can be considered the first choice. @entity1 admitted to our @entity10 center for evaluation of persistent @entity10 and followed after first admission with clinical and neuroradiological controls were systematically reviewed. 11 @entity1 (7 M, 4 F) followed in a period lasted from 10 months up to 2 years were studied. Six @entity1 (54, 5 %) reported a MRI performed previously elsewhere with a suspect diagnosis of @entity551 which was not confirmed at MRI at our hospital such as during the radiological follow-up. Three @entity1 (27.2 %) had developed @entity10 short after a neck or @entity542 with no evidence of neuroradiological pathological signs and two @entity1 (18 %) had a previous history of @entity146 . We administrated antidepressants in five @entity1 , atypical neuroleptic in three @entity1 , association of antidepressant and antipsychotic in one @entity1 and muscle relaxants in two cases. All @entity1 showed a certain improvement of @entity10 in the weeks after introduction of the pharmacological treatment; six (54, 5 %) had @entity158 relief during the follow-up and five (45, 5 %) were @entity158 free at the last clinical control. We found out that @entity1 with the best outcome were the ones treated with antidepressants. Persistent @entity10 without any neuroradiological sign of @entity551 is a challenging problem for clinicians. Although the International Classification of @entity2794 (ICHD-3 beta version) criteria suggests the possibility of epidural blood patch in @entity10 without causes, we believe that a pharmacological treatment tailored on each @entity1 should be always considered and antidepressants can be the first choice.
