Chapter

Case 7

Sarah T Pendlebury, Philip Anslow and Peter M Rothwell

in Neurological Case Histories

Published on behalf of Oxford University Press

Published in print February 2007 | ISBN: 9780192631626
Published online November 2012 | e-ISBN: 9780191753121 | DOI: http://dx.doi.org/10.1093/med/9780192631626.003.0007

Series: Oxford Case Histories

Case 7

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A 20-year-old man presented to his GP with a 1-month history of gradual onset headache associated with malaise. The headaches were worse towards the end of the day and associated with photophobia. The GP found him to be thrombocytopaenic and referred him to a haematologist. On further questioning he had been nauseated for 2 weeks and had had blurred vision for 3 days. He had experienced blackouts over the preceding week. There were no witnesses to these episodes and he denied incontinence or tongue biting. He had felt non-specifically unwell for the preceding few months and had lost 10kg in weight. There was no past medical history other than a road traffic accident abroad 12 years previously in which he had sustained bilateral leg fractures and received a blood transfusion. He did not smoke or drink and worked as a car mechanic.

Chapter.  1706 words.  Illustrated.

Subjects: Neurology

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