Its All in the History

Abstract

Sanad Esmail* and Muhammad Rafiq

We discuss the case of an 84-year old left-handed lady who presented to the emergency department with dysphasia, for whom CT neuroimaging showed a left-sided, posterior intraventricular meningioma. A closer analysis of the temporal profile of symptoms from the history unmasked dual underlying pathologies, the second of which was acute ischaemic stroke, which was subsequently confirmed on MRI. We highlight several learning points from this clinical case and emphasize the crucial importance of revisiting the clinical history when interpreting neuroimaging and constructing appropriate differential diagnoses.

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