Clinical Reasoning: A 24-year-old woman with progressive headache and somnolence
Neurology recent issues
A 24-year-old woman presented with progressive somnolence and headache following 2 days of nausea and vomiting. She had a history of developmental delay, attention-deficit disorder, and remote seizures. Medications included combined estrogen-progestin oral contraceptives. On presentation, she was afebrile, somnolent but arousable, groaning incoherently, and unable to follow commands. Optic disc margins were blurred bilaterally. Gaze was midline and deviated downward with restricted spontaneous upward gaze but full lateral gaze. She moved the right side less briskly than the left.
Original Article: http://www.neurology.org/cgi/content/short/82/22/e188?rss=1
Júlio Pereira
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