HEADACHE AND PROGRESSIVE VISUAL LOSS Case Conference I Department of Neurology

5
HEADACHE AND PROGRESSIVE VISUAL LOSS Case Conference I Department of Neurology LeeChuy, Katherine Lee, Sidney Albert Legaspi, Roberto Jose Lerma, Daniel Joseph Li, Henry Winston Li, Kingbherly Lichauco, Rafael Lim, Imee Loren Lim, Jason Morven Lim, John Harold Lim, Mary Lim, Phoebe Ruth Lim, Syndel Raina Lipana, Kirk Andrew

description

HEADACHE AND PROGRESSIVE VISUAL LOSS Case Conference I Department of Neurology. LeeChuy , Katherine Lee, Sidney Albert Legaspi , Roberto Jose Lerma , Daniel Joseph Li, Henry Winston Li, Kingbherly Lichauco , Rafael Lim, Imee Loren Lim, Jason Morven Lim, John Harold Lim, Mary - PowerPoint PPT Presentation

Transcript of HEADACHE AND PROGRESSIVE VISUAL LOSS Case Conference I Department of Neurology

Page 1: HEADACHE AND PROGRESSIVE VISUAL LOSS Case Conference I Department of Neurology

HEADACHE AND PROGRESSIVE VISUAL LOSS

Case Conference IDepartment of Neurology

LeeChuy, KatherineLee, Sidney Albert

Legaspi, Roberto JoseLerma, Daniel Joseph

Li, Henry WinstonLi, Kingbherly

Lichauco, RafaelLim, Imee Loren

Lim, Jason MorvenLim, John Harold

Lim, MaryLim, Phoebe RuthLim, Syndel Raina

Lipana, Kirk Andrew

Page 2: HEADACHE AND PROGRESSIVE VISUAL LOSS Case Conference I Department of Neurology

• 51 y/o, Male

• Chief complaint: Eight months of progressive visual loss and headache

Page 3: HEADACHE AND PROGRESSIVE VISUAL LOSS Case Conference I Department of Neurology

OPHTHALMOLOGIC FINDINGS

• Mild bilateral papilledema with some pallor of the right optic disc

• Visual fields with enlarged blind spot

• Concentric loss of the peripheral visual fields in both eyes (he could see only the center of the visual field with either eye)

Page 4: HEADACHE AND PROGRESSIVE VISUAL LOSS Case Conference I Department of Neurology

Other Exams• The remainder of his neurologic exam was normal.

Page 5: HEADACHE AND PROGRESSIVE VISUAL LOSS Case Conference I Department of Neurology

LOCALIZATION AND DIFFERENTIAL DIAGNOSIS

• 1. Headache, papilledema and visual field loss of this kind is seen in what syndrome?

• 2. What is the appropriate test to perform next?