DR D C-8-1. MRI(基礎と読影)

第117回医師D問52

A35-year-old man complained of a sudden onset of severe headache. For the past two weeks, he woke up around 3:00 a.m. due to soreness behind the left eye. His pain continued for about an hour. Today, he visited the emergency department at 5:30 a.m. His consciousness was clear, but he appeared restless. His body temperature was 36.4 ℃. Pulse rate was 84/min. Blood pressure was 136/80mmHg. Conjunctival hyperemia and tearing of the left eye were observed. There were no meningeal signs. MRI and MRA of the head showed no abnormalities. What is the most likely diagnosis?
1
migraine
2
meningitis
3
brain tumor
4
cluster headache
✓ 正解
5
subarachnoid hemorrhage
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