 the patient had a CT scan done, which was reported negative, and lumbar puncture with normal pressure and the cell count, and was admitted for followup.  Neurology consult was called to evaluate the patient in view of the current symptomatology.  The headaches were refractory to the treatment.  The patient has been on Topamax and Maxalt in the past, but did not work and according to the patient she got more confused.