Walker Jerimiah D
Jerimiah D. Walker is an emergency medicine PA resident at the William Beaumont Army Medical Center in Fort Bliss, Tex. The author has disclosed no potential conflicts of interest, financial or otherwise. The views expressed in this article are those of the author and do not reflect the official policy of William Beaumont Army Medical Center, the Department of the Army, or the US government.
JAAPA. 2018 Apr;31(4):1-3. doi: 10.1097/01.JAA.0000531047.74384.8e.
Headaches are common presenting complaints in EDs throughout the United States. Most are benign and should be treated symptomatically. Certain historical risk factors and physical examination findings increase the likelihood of a secondary cause of headache and warrant further investigation with neuroimaging. Gross visual field testing is a critical component of the physical examination and should not be overlooked as a potential manifestation of a neurologic deficit. This article describes a patient whose headache and unilateral vision loss prompted neuroimaging that uncovered a pilocytic astrocytoma.
头痛是美国各地急诊科常见的就诊主诉。大多数头痛是良性的，应进行对症治疗。某些病史风险因素和体格检查结果会增加继发性头痛病因的可能性，因此需要通过神经影像学进一步检查。粗略视野测试是体格检查的关键组成部分，作为神经功能缺损的潜在表现不应被忽视。本文描述了一名患者，其头痛和单眼视力丧失促使进行神经影像学检查，结果发现了毛细胞型星形细胞瘤。
