Ace844 Posted July 18, 2006 Author Share Posted July 18, 2006 Ace844, results of Dix-Hallpike testing? (rule out any history of cervical spine disorders prior to performing this test) Take care, chbare. For those who are interested in what "ChBare," is referencing here's a link for you:: http://www.dizziness-and-balance.com/disor...%20hallpike.htm - for nystagmus of BPPV, and the patient also has full ROM, no rigidity, or any other changes from normo variant baseline other than an increase in her H/A. and the things mentioned above. ACE844 Link to comment Share on other sites More sharing options...
Ace844 Posted July 18, 2006 Author Share Posted July 18, 2006 On the transport you have a hunch and pull out the fundoscope and find your patient also has soem mild papiledema.... Link to comment Share on other sites More sharing options...
itku2er Posted July 18, 2006 Share Posted July 18, 2006 so she has some ICP going on then Link to comment Share on other sites More sharing options...
Ace844 Posted July 18, 2006 Author Share Posted July 18, 2006 so she has some ICP going on then You tell me... Link to comment Share on other sites More sharing options...
itku2er Posted July 18, 2006 Share Posted July 18, 2006 pseudotumor cerebri, which is most likely to occur in young, caucasian, overweight females. However, many other disorders may cause papilledema. These may include intracranial tumors, subdural and epidural hematomas (secondary to trauma), subarachnoid hemorrhage (secondary to a bleeding intracranial aneurysm, e.g.), hydrocephalus, arteriovenous malformations, meningitis, and other rare causes. Link to comment Share on other sites More sharing options...
itku2er Posted July 18, 2006 Share Posted July 18, 2006 pseudotumor cerebri, which is most likely to occur in young, caucasian, overweight females. However, many other disorders may cause papilledema. These may include intracranial tumors, subdural and epidural hematomas (secondary to trauma), subarachnoid hemorrhage (secondary to a bleeding intracranial aneurysm, e.g.), hydrocephalus, arteriovenous malformations, meningitis, and other rare causes. this is my final answer ACE Link to comment Share on other sites More sharing options...
Ace844 Posted July 18, 2006 Author Share Posted July 18, 2006 We have a winner,.... that is the correct answer for those who have never encoutered this here is more info. FWIW, when I treated this patient clinically I as well; I thought it was a tumor and treated as such never picking up on the importance of the 'transient' nature of the pt's sx's. This patient presented with several 'classic' signs and pre-disposing factors for this D/O; later on follow up this is what we found and covered it at M&M rounds. Here's your info.: [web:7787a37374]http://www.emedicine.com/neuro/topic329.htm[/web:7787a37374] http://www.ninds.nih.gov/disorders/pseudot...umorcerebri.htm http://en.wikipedia.org/wiki/Benign_intrac...al_hypertension http://www.drkoop.com/ency/93/000351.html http://www.wrongdiagnosis.com/p/pseudotumo...rebri/intro.htm http://www.emedicine.com/oph/topic190.htm Great work everyone, ACE844 Link to comment Share on other sites More sharing options...
itku2er Posted July 18, 2006 Share Posted July 18, 2006 I just figured out ACES clues I just figured out ACE'S clues...........woo hooo ok Ace i am ready for the next one............ YOU ARE THE MAN Link to comment Share on other sites More sharing options...
chbare Posted July 18, 2006 Share Posted July 18, 2006 Ace 844, good scenario and Itku2er, good job. Take care, chbare. Link to comment Share on other sites More sharing options...
TechMedic05 Posted July 18, 2006 Share Posted July 18, 2006 Good job Itku2er! Thanks for the scenario, Ace! Waaaay over my head. :wink: Link to comment Share on other sites More sharing options...
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