Today, I review, link to, and excerpt from Emergency Medicine Cases‘ Ep181 Cerebral Venous Thrombosis, Idiopathic Intracranial Hypertension, Giant Cell Arteritis and Peripartum Headaches*.
*Helman, A. Shah, A. Baskind. R. Red Flag Headaches: Cerebral Venous Thrombosis, Idiopathic Intracranial Hypertension and Giant Cell Arteritis. Emergency Medicine Cases. April, 2023. https://emergencymedicinecases.com/red-flags-headache-cvt-iih-gca. Accessed 4/26/2024.
All that follows is from the above outstanding resource.
This is part 2 of our 2-part podcast on red flag headaches that do not readily appear on plain CT head. In Part 1 we covered cervical artery dissections. In this episode, Dr. Roy Baskind and Dr. Ahmit Shah answer such questions as: when is an LP opening pressure required? When should we pull the trigger on ordering a CT venogram in the patient with unexplained headache? What is the value of D-dimer to screen for Cerebral Venous Thrombosis (CVT)? Which older patients who present with headache require an ESR/CRP to screen for Giant Cell Arteritis (GCA)? How do the presentations of CVT and idiopathic intracranial hypertension (IIH) compare and contrast? When is it safe to start steroids in the ED for patients suspected of GCA; will starting steroids in the ED affect the accuracy of a temporal artery biopsy? How soon should patients suspected of GCA get a temporal artery biopsy? When should we consider posterior reversible encephalopathy syndrome (PRES) and pituitary apoplexy in the peripartum patient? How should we think about the differential diagnosis of vascular headaches? and many more…
Podcast: Play in new window | Download (Duration: 1:13:22 — 67.2MB)
