Spontaneous Onset Of Unilateral Headache While Playing Soccer - Page #3
 

Lab Studies:
A1c 4.9, LDL 69, Serum VZV IgG/IgM and HSV IgG/IgM/PCR negative, ESR and CRP normal, ANA and ANCA normal; Hypercoagulable work-up negative in acute setting

Other Studies:
CT Angiogram 9/2023: thready opacifications along the right Middle Cerebral Artery M2 branches, luminal irregularity at the Internal Carotid Artery terminus, proximal M2 opacification, large right anterior Middle Cerebral Artery perfusion defect <br> <br>Cerebral Angiogram 9/2023: occlusion of right Middle Cerebral Artery and Anterior Cerebral Artery <br> <a href="CaseStudyImages/CS1Spontaneousonseto-1206.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <a href="CaseStudyImages/CS2CS1Spontaneousons-1206.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <br> <br>MRI brain without contrast 9/2023: right Middle Cerebral Artery territory acute infarction involving the basal ganglia, frontal operculum, and anterior/mesial temporal lobe <br> <a href="CaseStudyImages/CS3CS2CS1Spontaneous-1206.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <a href="CaseStudyImages/CS4CS3CS2CS1Spontane-1206.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a> <br> <br>Transesophageal Echocardiogram: normal without patent foramen ovale

Consultations:
Neurology, Neurosurgery, Hematology, Physical Medicine and Rehabilitation

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

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Leawood, KS 66211
Phone: 913.327.1415


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