What is the differential diagnosis, workup, and management for a 15-year-old female presenting with a non-traumatic headache of 4 days duration, now accompanied by dizziness?

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Differential Diagnosis for 15-year-old Female with Nontraumatic Headache and Dizziness

Single Most Likely Diagnosis

  • Tension Headache: This is the most common type of headache in adolescents, often presenting with a non-traumatic onset and accompanied by symptoms like dizziness due to muscle tension and possible stress.

Other Likely Diagnoses

  • Migraine: A common cause of headaches in teenagers, which can be accompanied by dizziness, nausea, and sensitivity to light and sound.
  • Viral Meningitis: Although less common, it can present with headache and dizziness, especially if there's an associated fever or stiff neck.
  • Sinusitis: Inflammation of the sinuses can cause headaches and dizziness, particularly if there's an infection involved.

Do Not Miss Diagnoses

  • Subarachnoid Hemorrhage: A life-threatening condition that requires immediate attention, presenting with a sudden, severe headache (often described as "the worst headache of my life") and possible dizziness.
  • Brain Tumor: Although rare, it's crucial not to miss this diagnosis, as it can present with gradually worsening headaches and dizziness due to increased intracranial pressure.
  • Idiopathic Intracranial Hypertension (IIH): Characterized by increased pressure within the skull without an apparent cause, leading to headaches and vision changes, which could be mistaken for dizziness.
  • Stroke: Though uncommon in teenagers, it's a critical diagnosis to consider, especially if there are focal neurological deficits accompanying the headache and dizziness.

Rare Diagnoses

  • Pseudotumor Cerebri: A condition similar to IIH but with a different pathophysiology, presenting with symptoms of increased intracranial pressure.
  • Arteriovenous Malformation (AVM): A rare congenital condition that can cause headaches and neurological symptoms due to abnormal blood vessel connections in the brain.
  • Chiari Malformation: A structural defect in the cerebellum that can cause headaches and dizziness, especially with certain movements or positions.

Workup and Management

The workup should include a thorough medical history, physical examination, and neurological assessment. Initial tests may involve:

  • Complete Blood Count (CBC) to rule out infection or inflammation
  • Blood cultures if infection is suspected
  • Imaging studies such as MRI or CT scans of the head to evaluate for structural abnormalities, hemorrhage, or tumors
  • Lumbar puncture (LP) if meningitis is suspected, after ensuring there's no increased intracranial pressure

Management will depend on the diagnosis:

  • Tension Headache and Migraine: Over-the-counter pain relievers, rest, hydration, and possibly prescription medications for migraines.
  • Viral Meningitis: Supportive care, hydration, and antiviral medications if appropriate.
  • Sinusitis: Antibiotics if bacterial, decongestants, and pain management.
  • Subarachnoid Hemorrhage, Brain Tumor, Stroke, IIH, and other critical conditions: Immediate medical or surgical intervention as necessary.

Each patient's management plan should be tailored to their specific diagnosis and clinical presentation, with close monitoring for any changes in condition.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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