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103 Possible Causes for Cotton Wool Spots, Headache, Intracerebral Hematoma

  • Malignant Hypertension

    A 62-year-old man with a history of hypertension was referred secondary to bilateral temporal scotomas and persistent headache for 3 days.[ncbi.nlm.nih.gov] hemorrhage.[quizlet.com] Cotton-wool spots, or cytoid bodies, are not exudates, but rather are retinal infarcts. Hypertensive optic neuropathy is a late finding.[ncbi.nlm.nih.gov]

  • Temporal Arteritis

    The present case is an 81-year-old woman diagnosed with GCA, who initially presented with features similar to tension-type headache.[ncbi.nlm.nih.gov] We present a patient who clearly had temporal arteritis but also developed cerebral hemorrhage, pulmonary infiltrates related to granulomatous pulmonary vasculitis, and pauci-immune[ncbi.nlm.nih.gov] One week later, there were multiple cotton wool spots in the posterior pole, a relative afferent pupillary defect, and subtle visual field loss in the left eye.[ncbi.nlm.nih.gov]

  • Essential Hypertension

    Our cases showed arteriolar involvement and clinical symptoms characterized by headaches, dysesthesias, fleeting paralysis, personality changes, intellectual impairment and[annals.org] There are a number of other diseases that precipitated or accelerated by hypertension such as aortic aneurysm and cerebral hemorrhage.[articledoctor.com] We describe a case of bilateral papillophlebitis with disc edema, scattered cotton-wool spots, flame-shaped hemorrhages, and exudates around the optic discs and in the macula[ncbi.nlm.nih.gov]

  • Preeclampsia

    The patient may experience severe headaches; pain in the stomach, dizziness and shortness of breath.[symptoma.com] hemorrhage.[ncbi.nlm.nih.gov] This ischemic state can manifest as reduced arteriolar caliber and arteriovenous ratio, retinal haemorrhages, oedema and cotton wool spots secondary to arteriolar damage,[eyewiki.aao.org]

  • Granulomatosis with Polyangiitis

    A 54-year-old male, without any related medical history developed a severe headache.[ncbi.nlm.nih.gov] Intravenous immunoglobulin in Henoch-Schönlein purpura complicated by cerebral hemorrhage. Rheumatol Int. 2013;33:2451–3.[doi.org] Retinal vascular manifestations range from relatively benign cotton-wool spots, with or without associated intraretinal hemorrhages, to more severe vaso-occlusive disease,[aao.org]

  • Aplastic Anemia

    Symptoms of chronic aplastic anemia include weakness and fatigue in the early stages, followed by shortness of breath, headache, fever, and pounding heart.[britannica.com] Of these, retinal hemorrhage and cotton wool spots are the most common, 67% and 38% respectively [ 6 ].[casesjournal.biomedcentral.com] Other common symptoms of aplastic anemia are chest pain, pale skin, excessively cold extremities, headaches, dyspnea and dizziness shortly after standing.[symptoma.com]

  • Polyarteritis Nodosa

    A 20-year-old man presented with diplopia, headaches, chronic abdominal pain, and weight loss.[ncbi.nlm.nih.gov] Intracranial aneurysms (IAs) are extremely rare in PAN and usually manifest as subarachnoid or cerebral hemorrhage.[ncbi.nlm.nih.gov] In the posterior pole, this may manifest as hypertensive retinopathy replete with macular star formation, cotton-wool spots, and intraretinal hemorrhage in patients with renal[aao.org]

  • Acute Myelocytic Leukemia

    […] pyrexia), nausea, infection, vomiting, bleeding, low levels of platelets in the blood (thrombocytopenia), swelling and sores in the mouth (stomatitis), constipation, rash, headache[fda.gov] Characteristic signs of leukemic retinopathy include bilateral intra-retinal hemorrhage, white-centred hemorrhage, macular hemorrhage and cotton-wool spots.[ncbi.nlm.nih.gov] […] swollen spleen unexplained regular bleeding, of perhaps the nose or gums unexplained weight loss If the affected cells enter the central nervous system (CNS) there may be headaches[medicalnewstoday.com]

  • Multiple Myeloma

    CONCERNS AND DIAGNOSES: Herein, we describe an extraordinary rare case of multiple myeloma with initial presentation of a left sphenoid neoplasm resulting in left-sided headache[ncbi.nlm.nih.gov] hemorrhage with amyloidosis Dutch type Hereditary cerebral hemorrhage with amyloidosis-Dutch type is an autosomal-dominant disorder with complete penetrance.[emedicine.medscape.com] Physical Examination On head, ears, eyes, nose, and throat (HEENT) examination, the eyes may show exudative macular detachment, retinal hemorrhage, or cotton-wool spots.[emedicine.medscape.com]

  • Papilledema

    Abstract Headaches associated with papilledema may be both life-threatening as well as vision-threatening.[ncbi.nlm.nih.gov] […] that result in significant mass effect –Epidural hematoma: Usually does not require surgery; hyperventilation and mannitol to decrease ICP * Intracerebral infections require[checkorphan.org] wool spots In chronic phase, optic disc elevation and blurred margins, but no hemorrhages or cotton wool spots In atrophic phase (optic nerve axons have died), optic disc[kellogg.umich.edu]

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