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⚡IMPACT LEVEL 3 — NOTEWORTHY

Epstein File EFTA00956016: Cotton, Needle and Jamie Raskin (DS9)

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A medical text discussing physiological processes, including swallowing and potential causes of low CSF pressure, with a specific mention of sexual intercourse or orgasm as potential triggering events.

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Excerpt 1
or through the cribriform plate can also occur, and although overt CSF otorrhea and CSF rhinorrhea may result, it is not uncommon for the patient to **swallow**
Excerpt 2
development of spontaneous low CSF pressure is that of minor trauma or an inciting event, including a fall, a sudden twist or stretch, sexual intercourse or **orgasm**
Excerpt 3
Headache 1992; 32:84. 15 **Raskin** NH. Lumbar puncture headache: a review. Headache 1990; 30:197. 16 Fernández E.

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