A 16-year-old boy with a headache, back neck pain and positional vertigo
| Autor: | Flora Maria Murru, Giuseppe Abbracciavento, Martina Bevacqua, Egidio Barbi |
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| Přispěvatelé: | Bevacqua, M., Abbracciavento, G., Murru, F. M., Barbi, E. |
| Rok vydání: | 2019 |
| Předmět: |
Male
Adolescent Nausea back pain intracranial hypotension vertigo Orthostatic vital signs Vertigo otorhinolaryngologic diseases medicine Back pain Humans Intracranial Hypotension Neck pain Neck Pain biology business.industry Headache biology.organism_classification SIH Magnetic Resonance Imaging medicine.anatomical_structure headache Anesthesia Pediatrics Perinatology and Child Health Dural venous sinuses Vomiting medicine.symptom business |
| Zdroj: | Archives of disease in childhood. Education and practice edition. 106(1) |
| ISSN: | 1743-0593 |
| Popis: | A 16-year-old boy was admitted for a few days’ history of mild headache, moderate to severe posterior neck and dorsal back pain, nausea, vomiting many times during the day, and subjective positional vertigo. There was no night awakening for pain, neither night or on awakening vomit. He had been treated with ibuprofen without benefit. His history was unremarkable. On admission, physical and neurological examinations were unremarkable except for thoracolumbar pain during the flexion-extension of the trunk and refusal to stay in the orthostatic (the upright posture) position. Systemic blood pressure was 100/65 mm Hg. An ear, nose and throat (ENT) examination was negative. A brain and spine MRI showed cerebral dural sinus congestion, with a widespread meningeal enhancement after administration of contrast (figure 1A,B). Figure 1 (A) Sagittal postcontrast T1-weighted section. The arrow indicates the expansion of dural venous sinuses. (B) Coronal postcontrast T1-weighted image. The arrow shows the venous distension with pachymeningeal enhancement. Which is the most likely diagnosis? 1. MRI evidence associated with cerebral spinal fluid (CSF) hypotension. 2. Pseudotumour cerebri. … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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