A few months later, the woman suffers another severe headache and attempts to drive herself to the emergency department when she crosses into oncoming traffic, causing a motor vehicle accident. She is transported via emergency medical services (EMS) to the emergency department. She remains unconscious and responds to painful stimulation with extension of her extremities and a cervical collar for immobilization in place. Her Glasgow coma scale (GCS) rating is 4. Emergency department personnel note that she has blood coming from her nose, bruising around both eyes, and dilated pupils. A computed tomographic (CT) scan shows a subdural hematoma and air in the sinuses.
B. These symptoms suggest:
- Temporal lobe herniation
- Blunt trauma
- Tertiary injury
- Contrecoup injury
A 32-year-old woman is seen in the emergency department complaining of a severe headache and nausea. She reports a history of headaches off and on for the past several months, typically unilaterally and without warning. In addition, she reports that the headaches occur at varying times of the day.
A. Based on this brief history, the physician suspects that the woman may suffer from:
- CPH
- Tension type headaches (TTHs)
- Migraine headaches
- Cluster headaches