Related Experiment Video
Updated: May 12, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
Clinical Reasoning: Progressive Headache and Diplopia in an 89-Year-Old Man
Mathieu Riand1, Davide Strambo1, Delfyne Hastir2
1Service of Neurology, Department of Clinical Neurosciences, Lausanne University Hospital (Centre Hospitalier Universitaire Vaudois) and University of Lausanne, Switzerland.
Abstract:
An 89-year-old man presented with a 3-year history of chronic daily headaches that significantly worsened over the past 4 months. Initially episodic, the left-sided headaches became continuous and were accompanied by systemic symptoms such as weight loss and elevated inflammatory markers, specifically C-reactive protein and erythrocyte sedimentation rate. Over subsequent weeks, the neurologic examination revealed new-onset left-sided ophthalmoplegia, ptosis, and marked visual acuity loss. This article explores the differential diagnosis for such a complex clinical presentation and highlights how a systematic diagnostic approach can guide clinicians toward the correct diagnosis.
More Related Videos
Related Concept Videos
Glaucoma: Overview
Photoreceptors and Visual Pathways
Angle Closure Glaucoma: Treatment
Equilibrium and Balance
Accessory Structures of the Eye
Prosopagnosia

