Show Summary Details
Page of

Case 18 

Case 18
Chapter:
Case 18
Author(s):

Harutomo Hasegawa

, Matthew Crocker

, and Pawan Singh Minhas

DOI:
10.1093/med/9780199599837.003.0018
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 22 August 2019

A 49-year-old woman presented to hospital having suffered a sudden-onset severe headache 6 days previously. She felt nauseous at the time of the headache, although she did not vomit. The headache reached maximum intensity 24 hours after onset and then eased, but has persisted. Three days prior to admission she noticed that her left eyelid was drooping. She attended her general practitioner who arranged for her to be seen in the emergency department. On examination, she was alert and orientated (GCS 15/15). Her left eyelid was closed and she could not open it. When the eyelid was lifted, the left pupil was dilated and the eye was found to be looking down and out. No other neurological deficits were found.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.