Open AccessCT Quiz: A Man with Headache and Dizziness
Author(s) -
Wong MCK,
Chung CH
Publication year - 2005
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490790501200110
Subject(s) - medicine , anesthesia , physical therapy , medical physics
A 55-year-old man presented to the Emergency Department with occipital headache for five days, which was associated with dizziness and vomiting. He also complained of mild neck pain and blurring of vision. There was no history of recent head injury or other symptom. He was healthy except that he had a history of gouty arthritis. He was afebrile and his blood pressure was 173/90 mmHg and his pulse rate was 67 beats/minute. Physical examination demonstrated that his pupils were equal and reactive and his Glasgow Coma Scale score was 15/15. He had no neck rigidity, nor loss of muscle power. However, his fundi showed bilateral papilloedema. Non-contrast computed tomogram (CT) of brain was taken (Figure 1).