34F HEADACHE, VOMITING @ KHL

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34F presented to EMD with c/o

occipital headache radiating to neck 

6 episodes of vomitingsb

becamedrowsy but arousable and

 irrelavant talk since yesterday


Patient was apparently normal till yesterday then she developed occipital headache


Bp 180/100mmhg

Pr 86

RR 20

Spo2 96

Grbs 180


GCS E4V5M6

moving all limbs

Pupils reactive.

No other deficits.
























Diagnosis : 

Acute IVH with B/l ICA stenosis ? moya Moya

patient was monitored in view of uncontrolled hypertension and after stabilisation shifted to ward.

thrombophilia profile shows intermediate mutations in FGF beta.


next day patient developed weakness of U/L upperlimb and lower limb

developed ischemic stroke.

patient gained power in 5-6 days after physiotherepy then was discharged in view of neurosurgical intervention.

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