An 18 year old girl complains of constant headache disturbing normal sleep patterns and made worse

Question Number 0408

Question:
An 18 year old girl complains of constant headache disturbing normal sleep patterns and made worse by sneezing or coughing. She also complains of blurred vision and photophobia. On examination she is found to have problems with balance and spatial awarenessand a loss of short-term memory. Fundoscopy reveals papilloedema. A CT scan is normal. The CSF pressure is found to be raised on lumbar puncture. A likely diagnosis is

a) encephalitis
b) thrombosis of a major dural sinus
c) medulloblastoma
d) pseudotumour cerebri
e) meningitis


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