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Sarah Williams was tossed into the air when a shark hit her kayak while paddling alongside her family in the state of South Australia. As the predator repeatedly circled and hit the kayak, she was hauled onto a boat by her brother, who lifted her over the deadly great white shark.

Subsequently, clinical practice guidelines were formulated and recently published in Neurology. The Headache and Facial Plan Section and the QSS of the AAN were able to reach consensus on the basis of a thorough literature review and formulated practice parameters that describe and define the limits of ergot use, provide information on the oral and parenteral dosing of ET and DHE, and provide physicians with guidance to avoid ET overuse by patients. Because this project was completed prior to the availability of the intranasal (IN) formulation of DHE, intranasal DHE is not included in the practice parameter.

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