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Case Records of the Massachusetts General HospitalFree Preview

Case 25-2022: A 25-Year-Old Woman with Headache and Blurred Vision

List of authors.
  • Christina M. Marra, M.D.,
  • Saurabh Rohatgi, M.D.,
  • Allyson K. Bloom, M.D.,
  • Kristopher T. Kahle, M.D., Ph.D.,
  • and Amelia K. Haj, M.D., Ph.D.

A 25-year-old woman was evaluated for worsening headaches, photophobia, nausea, vomiting, and blurred vision. MRI revealed hydrocephalus and leptomeningeal enhancement. CSF analysis revealed neutrophilic pleocytosis.

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Funding and Disclosures

This case was presented at Neurology Grand Rounds.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

Author Affiliations

From the Department of Neurology (C.M.M.), University of Washington, Seattle; and the Departments of Radiology (S.R.), Medicine (A.K.B.), Neurosurgery (K.T.K.), and Pathology (A.K.H.), Massachusetts General Hospital, and the Departments of Radiology (S.R.), Medicine (A.K.B.), Neurosurgery (K.T.K.), and Pathology (A.K.H.), Harvard Medical School — both in Boston.

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