EMERGENCY CASEBOOK
Superior sagittal sinus thrombosis, an unusual presentation of acute myeloid leukaemia: a case report
Emergency Department, Mayday University Hospital, Croydon, London, UK
Correspondence to:
Correspondence to:
C J Blakeley
christopher.blakeley@mayday.nhs.uk
Accepted 10 November 2003
Keywords: leukaemia; sagittal; sinus; thrombosis
| The first 150 words of the full text of this article appear below. |
A 47 year old woman presented to the emergency department with a two week history of a global headache and a one day history of vomiting, photophobia, and blurred vision. She also reported night sweats during that period. Her general practitioner had prescribed simple analgesics for the headache, but they had had little effect.
She had been healthy previously and was on no regular medication. General examination revealed temperature 36.8 °C, pulse 84 per minute, and BP 120/90 mm Hg, bilateral subconjunctival haemorrhages, and left axillary lymphadenopathy. Chest and abdominal examinations were unremarkable. Neurological examination revealed the patient to be fully alert and orientated with a Glasgow Coma Scale score 15/15. She had neck stiffness and positive Kernig’s sign suggesting "meningism", but there were no signs of raised intracranial pressure at this stage.
Routine blood investigations revealed haemoglobin 8.9 g/dl, white blood cell count 23.0x103, platelets 18
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