cover of episode Episode 127.0 – Idiopathic Intracranial Hypertension

Episode 127.0 – Idiopathic Intracranial Hypertension

2018/1/8
logo of podcast Core EM - Emergency Medicine Podcast

Core EM - Emergency Medicine Podcast

Shownotes Transcript

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This week we talk about the subacute headache and the dangerous, can't miss diagnoses of cerebral venous thrombosis and IIH

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				Tags: [Cerebral Venous Sinus Thrombosis](https://coreem.net/tag/cerebral-venous-sinus-thrombosis/)), [Headache](https://coreem.net/tag/headache/)), [Neurology](https://coreem.net/tag/neurology/))				
				



  
              ## Show Notes

     **Take Home Points**

Keep IIH and CVST on the differential for patient’s coming in with a subacute headache, particularly if they have visual or neuro symptoms.

Consider an ocular ultrasound! It’s quick, shockingly easy to do, and can help point you toward a diagnosis you may have otherwise overlooked.  I have made it my practice now to include a quick look in the physical exam of my patients with a concerning sounding headache or a headache with neurologic symptoms. 

Consider IIH particularly in an overweight female of child bearing age with a subacute headache, but remember patients outside that demographic can have IIH as well.

Consider CVST in a patient with a thrombophilic process like cancer, pregnancy or the use of OCPs or androgens or in a patient with a recent facial infection like sinusitis or cellulitis.

Read More

WikEM: Idiopathic Intracranial Hypertension)

WikEM: Ocular Ultrasound)

Sinai EM Ultrasound – Pseutotumor Cerebri)

Read More)