Discussions By Condition: I cannot get a diagnosis.

Undiagnosed head/brain problem and abdo condition.... not diagnosed - HELP

Posted In: I cannot get a diagnosis. 1 Replies
  • Posted By: Anonymous
  • June 22, 2010
  • 01:44 AM

10 days ago my wife (32yr old female caucasian) developed pain in her right jaw and an occipital headache.
8 days ago this progressed into virtigo when standing (still accompanied by the previous symptoms).
4 days ago she developed severe nausea but no vomiting.
3 days ago her right pupil became sluggish while left was hyperreactive.
2 days ago she developed some dysphasia which has progressed into slurred speech.
yesterday i finally managed to convince her to let me take her to the hospital:

On Examination:
Temp 'c 37.5, BP 110/75, HR 62 - sinus rhythm, SPO2 100 (room air), BGL 5.4mmol.
complaining of occipital headache, veritigo, nausea, blurred vision
Lethargic, difficulty in keeping eyes open - GCS 15.
Speech - slow and slurred.
Chest clear, HS I+II+0.
decreased visual acuity R eye, reduced visual field R eye, Fundoscopy - no obvious papilledema, ful ROEM no nystagmus, double vision on right lateral glaze.
Hearing NAD, no facial assymmetry.
Peripheral nerves NAD.
routine bloods: slightly lowered neutrophils but otherwise ok.
CT Head: no abnormalities detected.
ultrasound of optic nerve sheath: R pupil - 5.2mm, L pupil - 5.8mm.

This is the first time she has had these head/brain symptoms.... however the following has been occuring for the last 10 years, and occurs approx every 5 weeks...

She also has an undiagnosed abdo problem which has been put down to Irritable bowel:
enlarged liver, severe RUQ abdo pain, elevated Liver function tests when symptomatic and increased WBC count, ultrasound of all other organs has been normal (except for enlarged liver) not billiary colic, not renal colic, vomiting when in pain, no diarrhoea, afebrile

so far no one is able to shed any light on these issues..... can anyone out there help us?

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1 Replies:

  • in regard to the abdo, it is hard to tell as there can be some many different issues within the abdo. As far as the head problems go with nothing found on the CT Scan it may be worth talking to your dr and asking if they can arrange an MRI. may be worth looking up 'idiopathic intracranial hypertension' see if that fits? friend of mine ended up getting a 'shunt' inserted to relieve the pressure...
    Ambocam 11 Replies Flag this Response
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