The Clinical Problem Solvers Episode 366: Neurology VMR – Headache and Seizure
Nov 22, 2024
Bayan Al Zoabu, a senior medical student from Syria passionate about neurology, shares insights on a challenging case involving headache and seizure. He teams up with Aye Chan Moe Thant, a dedicated physician from Myanmar, to tackle diagnoses from traumatic headaches to potential intracranial pressure issues. They discuss the nuances of distinguishing primary from secondary headaches and emphasize the vital role of thorough evaluations in clinical practice. The duo also analyzes imaging techniques for diagnosing rare conditions like cerebral venous thrombosis.
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Red Flag Headaches
- Always image patients reporting red flag headache symptoms, even if the exam is normal.
- Red flags include new patterns, waking up at night, and increased severity.
Trauma and Neurological Symptoms
- Trauma doesn't always cause neurological issues directly.
- Consider other diagnoses like meningitis even with prior trauma.
Subtle Neurological Exam Findings
- Look for subtle focal neurological signs like pronator drift or slowed finger tapping.
- Check for papilledema, which indicates high intracranial pressure.
