The Clinical Problem Solvers
Episode 331: Neurology VMR – Headaches and loss of sensation in the left leg
Apr 24, 2024
Neurology expert Dr. Aaron Berkowitz discusses a case of headaches and left leg sensation loss. They explore primary vs. secondary headaches, unusual symptoms, diagnostic challenges, navigating viral infections, and a case study on Handle syndrome. The podcast emphasizes thorough diagnostic processes and wide-ranging approaches in reaching a diagnosis.
59:45
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Quick takeaways
- Importance of differentiating between primary and secondary headache disorders based on red flags in history and examination.
- Investigating findings like elevated CSF parameters and, normal brain MRI reveal diagnostic challenges in complex neurological cases.
Deep dives
The Challenging Presentation and Diagnosis
The podcast episode discusses a case of a 21-year-old female presenting with throbbing headaches, loss of sensation, and weakness in the left leg. The differential diagnosis explores primary and secondary headache disorders, focusing on potential causes like migraine headache. The case raises concerns about transient neurologic symptoms along with focal deficits. Despite symptoms hinting at possible serious conditions, further investigations like anatomical imaging and physical exams aim to narrow down the diagnosis.
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