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- Nour Foad Diab Elghoura.
- Neurologisk Afdeling, Herlev Hospital, Herlev Ringvej 75, 2730 Herlev, Denmark. nour059@hotmail.com
- Ugeskr. Laeg. 2012 May 14;174(20):1388-9.
AbstractA 70 year-old man was admitted under the diagnosis of subarachnoid haemorrhage and presented with a history of ear pain, followed by acute onset of severe headache, nausea, vomiting, impaired consciousness, and fever. However, a computed tomography (CT) showed an acute mastoiditis and pneumocephalus, and a lumbar puncture confirmed the diagnosis meningitis. The increased middle ear pressure relative to the intracranial pressure had caused air and bacteria to penetrate intracerebrally. This case illustrates the importance of a rapid diagnostic workup in acute onset headache including a careful anamnesis, CT and lumbar puncture.
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