Episode 127.0 – Idiopathic Intracranial Hypertension - a podcast by Core EM

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







Download





Leave a Comment











Tags: Cerebral Venous Sinus Thrombosis, Headache, 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

Further episodes of Core EM - Emergency Medicine Podcast

Further podcasts by Core EM

Website of Core EM