I had a patient today in Opd Suffering from acute headache since yesterday night. We thought of some common aetiologies:
1). Acute attack of migraine, but had no prior similar history.
2). RCVS, but it was not thunderclap type
3). Subarachnoid haemorrhage, but not explosive.
1). Acute attack of migraine, but had no prior similar history.
2). RCVS, but it was not thunderclap type
3). Subarachnoid haemorrhage, but not explosive.
4). Pyogenic Meningitis, but no history of fever, or neck rigidity
5). Glaucoma, iop normal
6). CVST, but no other signs of raised icp, convulsions, etc
7). ICH, but no focal deficit.
8). Accelerated hypertension, but BP normal
5). Glaucoma, iop normal
6). CVST, but no other signs of raised icp, convulsions, etc
7). ICH, but no focal deficit.
8). Accelerated hypertension, but BP normal
After extensive investigation; MRI BRAIN AND CSF analysis, we were no where. All blood investigations too were normal.
We knew were missing something. But could not pick up what.
Students, when you are stuck with diagnosis; always revisit history. And thats what we did
We knew were missing something. But could not pick up what.
Students, when you are stuck with diagnosis; always revisit history. And thats what we did
When we asked again what was the patient doing just before the headache started, he mentioned in a passing comment that he just finished watching radhe.
Guys, again i want to stress, always revisit history if diagnosis unclear.
Guys, again i want to stress, always revisit history if diagnosis unclear.
Patient was shown swades and he was discharged in healthy condition, without headache.
Interesting case.
Interesting case.
Just Received my unrolled thread on WhatsApp of my college neurology group:
Is this criteria for being known as tweleb?
Is this criteria for being known as tweleb?
@BeingSalmanKhan no fan of yours spotted in #MedTwitter
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