Headache and Diplopia in a 41-Year-Old Man

Mousa Abujbara, MD


February 06, 2017

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A 41-year-old man presents to the emergency department (ED) complaining of a severe frontal headache that began suddenly and awakened him from sleep. The headache is associated with nausea, vomiting, and subjective fevers. He also complains of new-onset diplopia and photophobia but denies any decrease in visual acuity. He denies experiencing any associated seizures, focal weaknesses, previous similar episodes, frequent headaches, or previous visual disturbances.

He does not have any prior significant medical problems, and his only medication is occasional sildenafil. He drinks socially, does not smoke, and denies recreational drug use.


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