This week we talk about the subacute headache and the dangerous, can't miss diagnoses of cerebral venous thrombosis and IIH



https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_127_0_Final_Cut.m4a



Download


Leave a Comment





Tags: Cerebral Venous Sinus Thrombosis, Headache, Neurology





Show Notes
Take Home Points

Keep IIH and CVST on the differential for patient’s coming in with a subacute headache, particularly if they have visual or neuro symptoms.
Consider an ocular ultrasound! It’s quick, shockingly easy to do, and can help point you toward a diagnosis you may have otherwise overlooked.  I have made it my practice now to include a quick look in the physical exam of my patients with a concerning sounding headache or a headache with neurologic symptoms. 
Consider IIH particularly in an overweight female of child bearing age with a subacute headache, but remember patients outside that demographic can have IIH as well.
Consider CVST in a patient with a thrombophilic process like cancer, pregnancy or the use of OCPs or androgens or in a patient with a recent facial infection like sinusitis or cellulitis.

Read More
WikEM: Idiopathic Intracranial Hypertension
WikEM: Ocular Ultrasound
Sinai EM Ultrasound – Pseutotumor Cerebri


Read More