Editorial Note: The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.
A 42-year-old woman is referred to the neurosurgery outpatient department with a gradual-onset headache that is constant and located in the right half of her head. She has also had frequent, repetitive, nonprojectile vomiting not related to meal intake for 3-4 months. In addition, the patient has had cognitive defects for the last 3-4 months, especially a reduction of what she describes as "thinking power."
She underwent enucleation of her left eye in a different hospital 8 years ago, the details of which the patient could not recall. No other significant medical history is known. The first-degree family members also report no significant medical or surgical history.
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Cite this: Prasenjit Das. A 42-Year-Old With Declining Cognition and Frequent Vomiting - Medscape - Feb 11, 2022.