In a young patient with these symptoms, what diagnoses should be in your differential?
Show Answer
These symptoms are rather non-specific and depending on examination and onset, there are a number of possibilities.
If this is relatively acute, with a headache for example, this may be a migrainous aura. If it is lateralising, there may be a mass and with evidence of infection, abscess formation. Demyelination is also another diagnosis to consider, particularly in younger patients with abnormal neurology.
Of note, having tingling or "positive" sensation makes ischaemic events unlikely as these predominantly leave a lack of sensation (or negative symptoms).