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Clinical Reasoning: An Older Woman With Headaches and Lethargy After a Fall
Sara K Heide1, Rachel Gnanaprakasam2, Yarden Bornovski2
1From the Department of Neurology (S.K.H.), Mount Sinai Beth Israel Medical Center, New York; Department of Infectious Disease (R.G., M.K.), Department of Neurology (Y.B., J.R.), and Department of Neurosurgery (E.F.), Westchester Medical Center, Valhalla, NY. sara.k.heide@gmail.com.
Abstract:
In this case, a 77-year-old woman presented with generalized weakness, difficulty ambulating, lethargy, loss of appetite, and headaches after a mechanical fall. This case discusses the management of acute neurologic emergencies such as subdural hematoma, status epilepticus, and bacterial meningitis. Potential etiologies for stroke and CNS infection are highlighted. Readers are led through the diagnostic approach to a patient presenting with a complex array of neurologic symptoms causing rapid clinical decompensation.
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