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Headache in a young female. What's going on?

Discussion in 'Spot Diagnosis' started by Mdhardcorez, Jun 8, 2014.

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  1. Mdhardcorez

    Mdhardcorez Famous Member

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    31yr old female postpartum 4wks developed intermittent severe headache, visual/auditory changes, numbness to her LLE and AMS over these few wks. MRI (flair) showed multiple ischemic infarcts. ESR 29, CRP 13.5.

    Additional info: intermittent headache started peripartum 2wks before and continued 4wks after giving birth. (+) photo-/phono- phobia associated with headaches. She was treated with SSRI for her postpartum depression. No fever/chills/weight loss or FHx of autoimmune disease.

    image.jpg image.jpg image.jpg image.jpg image.jpg

    What are we facing?
    What do you order?
    What would you like to treat her with?

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    Mdhardcorez, Jun 8, 2014
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  2. Yusduks

    Yusduks Well-Known Member

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    Yusduks, Jun 8, 2014
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    migraine?
     

    Dora Michael, Jun 8, 2014
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    wyatt Young Member

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    giove89 Well-Known Member

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    zotzic Well-Known Member

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    I got nuthin--(is answer dx based on shrinkage in cranial cavity?)
     

    zotzic, Jun 9, 2014
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    poris Famous Member

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    poris, Jun 9, 2014
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    Adam112682 Young Member

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    TIA
     

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    Thuy Active member

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  18. Mdhardcorez

    Mdhardcorez Famous Member

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    Nope. The slides are picked to show the ischemic changes. I'm sorry if its misleading.
     

    Mdhardcorez, Jun 10, 2014
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    mutchalin Bronze Member

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