Chapter

Case 18

Harutomo Hasegawa, Matthew Crocker and Pawan Singh Minhas

in Oxford Case Histories in Neurosurgery

Published on behalf of Oxford University Press

Published in print March 2013 | ISBN: 9780199599837
Published online April 2013 | e-ISBN: 9780191753503 | DOI: http://dx.doi.org/10.1093/med/9780199599837.003.0018

Series: Oxford Case Histories

Case 18

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A 49-year-old woman presented to hospital having suffered a sudden-onset severe headache 6 days previously. She felt nauseous at the time of the headache, although she did not vomit. The headache reached maximum intensity 24 hours after onset and then eased, but has persisted. Three days prior to admission she noticed that her left eyelid was drooping. She attended her general practitioner who arranged for her to be seen in the emergency department. On examination, she was alert and orientated (GCS 15/15). Her left eyelid was closed and she could not open it. When the eyelid was lifted, the left pupil was dilated and the eye was found to be looking down and out. No other neurological deficits were found.

Chapter.  3387 words.  Illustrated.

Subjects: Neurosurgery ; Clinical Radiology

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