Case 38-2009: A 16-year-old boy with paroxysmal headaches and visual changes

Steven D. Brass, Marc J. Dinkin, Ziv Williams, Kalpathy S. Krishnamoorthy, William A. Copen, Stefanie H. Freeman

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A boy was first seen in the pediatric neurology clinic at 16 years of age because of paroxysmal headaches and visual changes. Physical and neurologic examinations were normal, and imaging studies showed no intracranial abnormalities. Headaches persisted despite a variety of therapies and during the next 4 years were associated with transient weakness, loss of consciousness, obtundation, and back pain. Intermittent optic-disk edema was noted. When the patient was 21 years old, lumbar puncture revealed an opening pressure of 25 cm of water; several hours later, symptoms of cauda equina syndrome developed. A diagnostic procedure was performed.

Original languageEnglish (US)
JournalNew England Journal of Medicine
Volume361
Issue number24
DOIs
StatePublished - Dec 10 2009
Externally publishedYes

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Headache
Polyradiculopathy
Papilledema
Spinal Puncture
Unconsciousness
Neurologic Examination
Back Pain
Neurology
Physical Examination
Pediatrics
Pressure
Water
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Brass, S. D., Dinkin, M. J., Williams, Z., Krishnamoorthy, K. S., Copen, W. A., & Freeman, S. H. (2009). Case 38-2009: A 16-year-old boy with paroxysmal headaches and visual changes. New England Journal of Medicine, 361(24). https://doi.org/10.1056/NEJMcpc0905547

Case 38-2009 : A 16-year-old boy with paroxysmal headaches and visual changes. / Brass, Steven D.; Dinkin, Marc J.; Williams, Ziv; Krishnamoorthy, Kalpathy S.; Copen, William A.; Freeman, Stefanie H.

In: New England Journal of Medicine, Vol. 361, No. 24, 10.12.2009.

Research output: Contribution to journalArticle

Brass, SD, Dinkin, MJ, Williams, Z, Krishnamoorthy, KS, Copen, WA & Freeman, SH 2009, 'Case 38-2009: A 16-year-old boy with paroxysmal headaches and visual changes', New England Journal of Medicine, vol. 361, no. 24. https://doi.org/10.1056/NEJMcpc0905547
Brass SD, Dinkin MJ, Williams Z, Krishnamoorthy KS, Copen WA, Freeman SH. Case 38-2009: A 16-year-old boy with paroxysmal headaches and visual changes. New England Journal of Medicine. 2009 Dec 10;361(24). https://doi.org/10.1056/NEJMcpc0905547
Brass, Steven D. ; Dinkin, Marc J. ; Williams, Ziv ; Krishnamoorthy, Kalpathy S. ; Copen, William A. ; Freeman, Stefanie H. / Case 38-2009 : A 16-year-old boy with paroxysmal headaches and visual changes. In: New England Journal of Medicine. 2009 ; Vol. 361, No. 24.
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