The New England Journal of Medicine
e-mail icon  FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |    Advanced Search
Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe
 
Case Records of the Massachusetts General Hospital
Editor's Names
PreviousPrevious
Volume 359:842-853 August 21, 2008 Number 8
NextNext

Case 26-2008 — A 26-Year-Old Woman with Headache and Behavioral Changes
Thomas D. Sabin, M.D., Jeffrey A. Jednacz, M.D., and Paul N. Staats, M.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

 Sign up for free e-toc
 

This Article
-Full Text
- PDF
-PDA Full Text
-PowerPoint Slide Set
-Purchase this article

Tools and Services
-Add to Personal Archive
-Add to Citation Manager
-Notify a Friend
-E-mail When Cited
-E-mail When Letters Appear

More Information
-PubMed Citation
Presentation of Case

Dr. Thomas J. Cummings, Jr. (Psychiatry): A 26-year-old woman was admitted to this hospital because of headache, behavioral changes, abnormal movements, and inability to communicate. The patient had been well, except for occasional migraine headaches, until 7 weeks earlier, when generalized, diffuse headache developed. It was most severe in the occipital region, with associated neck stiffness, sensitivity to sounds, intermittent blurred vision, nausea, and vomiting. There were no prodromal symptoms or visual scotoma, which had occurred routinely with her migraines, and the pain did not diminish in response to her usual migraine treatment. During the next 10 days, she . . . [Full Text of this Article]

Differential Diagnosis

Important Features of the History

Localization

Viral Infections

Systemic Autoimmune or Vasculitic Diseases

Hashimoto's Encephalopathy

Whipple's Disease

Inflammatory Limbic Encephalitis

Clinical Diagnosis

Dr. Thomas D. Sabin's Diagnosis

Pathological Discussion

Anatomical Diagnosis


Source Information

From the Department of Neurology, Tufts Medical Center (T.D.S.); the Departments of Radiology (J.A.J.) and Pathology (P.N.S.), Massachusetts General Hospital; the Department of Neurology, Tufts University School of Medicine (T.D.S.); and the Departments of Radiology (J.A.J.) and Pathology (P.N.S.), Harvard Medical School — all in Boston.



HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  HELP  |  beta.nejm.org

Comments and questions? Please contact us.

The New England Journal of Medicine is owned, published, and copyrighted © 2008 Massachusetts Medical Society. All rights reserved.