Intracranial Hypotension following Chiropraxis

47 patient’s urine. Besides, no other pharmacological compounds (incl. antidepressants, neuroleptics, amphetamines, benzodiazepines, cannabis, cocaine, opioids) were found. Blood alcohol measurements were negative. The next day, both the oculomotor disturbances and ataxia had markedly improved upon treatment with clonazepam (3 mg/day). The patient was still agitated, but now able to perform purposeful defense movements. The pupils were still dilated and not reactive to light. After a transitional phase, in which the patient was irritated and anxious, the mental state gradually normalized. On the third day, all neurological symptoms had disappeared. The patient confirmed ingestion of 2,000 mg (40 tablets) diphenhydramine.

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