Author: Syed M A Gilani / Editor: Steve Corry-Bass / Reviewer: Syed M A Gilani / Codes: NeuP2, SLO1 / Published: 15/01/2024
A previously fit and healthy, 35-year-old gentleman presents to the emergency department (ED) with a right sided headache, neck pain with radiation to the back of the neck, photophobia and subjective numbness in the upper arm. He has a history of similar headaches, but no formal diagnosis.
Apart from Blood pressure of 160/95, his initial general physical and systemic examination including neurological examination is normal.
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What is the next step in management?
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Further history
After complete resolution of symptoms, the patient is discharged from the Emergency Department with the advice to see his GP for further investigation of his headaches and also to monitor his BP regularly.
He represents within a few hours of discharge with a relapse of headache and left sided visual loss and subjective numbness in the left side of the body starting an hour before his reattendance.
What is the most likely Diagnosis?
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