Chapter

Case 36

Sarah Pendlebury, Ursula Schulz, Aneil Malhotra and Peter M. Rothwell

in Oxford Case Histories in TIA and Stroke

Published on behalf of Oxford University Press

Published in print January 2012 | ISBN: 9780199539345
Published online November 2012 | e-ISBN: 9780191753251 | DOI: http://dx.doi.org/10.1093/med/9780199539345.003.0221

Series: Oxford Case Histories

Case 36

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A 39-year-old woman developed a left ptosis and a pressure feeling behind her left eye over several days. She also became aware of a ‘whooshing’ sound in her head. Symptoms persisted for 4 weeks. The patient then developed a right-sided headache and neck pain of sudden onset and worsening every day. After 2 weeks, the headache had become unbearable and she was admitted to hospital. On admission, she was alert and orientated. She had a left-sided Horner's syndrome, but no focal neurological deficit. She was afebrile and had no neck stiffness. Blood pressure was 220/110mmHg. The patient's CT angiogram and intra-arterial angiogram are shown in Fig 36.1 and Fig 36.2, respectively.

Chapter.  1444 words.  Illustrated.

Subjects: Neurology

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