[
](https://coreem.net/podcast/episode-127-0/) )
This week we talk about the subacute headache and the dangerous, can't miss diagnoses of cerebral venous thrombosis and IIH
[https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_127_0_Final_Cut.m4a](https://media.blubrry.com/coreem/content.blubrry.com/coreem/Podcast_Episode_127_0_Final_Cut.m4a))
Download)
[Leave a Comment](https://coreem.net/podcast/episode-127-0/#comments))
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)