A 28-year-old lady is admitted to the ED with chief complaints of headaches and confusion. She has a headache since last 3 weeks and it has become progressively more severe, persistent and diffused. She has lost 10 kg of weight over 6 months and has recently become increasingly confused. She has slurred speech. She also experienced an episode of generalized tonic-clonic convulsion. Examination Physical appearance: Thin, cachexic Weight: 55 kg Temperature: 38.5°C Presence of oral candidiasis.
No lymphadenopathy. CVS, RS and P/A – normal CNS – disoriented to T, P, P There were no focal neurological signs Fundoscopy shows bilateral papilloedema. A computed tomography (CT) scan is shown in Figure. Other investigations are given in the table below: What is the cause of this woman’s headache, confusion, and convulsions? *This case is from Docplexus editorial team for educative purpose only…
