Differential Diagnosis for 33 yo Male Patient with Sudden Loss of Vision and Diaphoretic Episode
- Single most likely diagnosis
- Migraine with aura: The patient's history of migraines, description of pressure in both temporal sides, and vision turning gray are consistent with a migraine aura. The episode of sudden loss of vision and diaphoretic episode could be a variant of migraine with aura.
- Other Likely diagnoses
- Ocular migraine: This condition is characterized by transient visual symptoms, including loss of vision, and is often accompanied by headache and other migraine symptoms.
- Tension headache: The patient's description of pressure in both temporal sides could be indicative of a tension headache, which may have triggered the episode of loss of vision.
- Dehydration: Although the patient reports being well-hydrated, dehydration can cause visual disturbances and diaphoretic episodes, especially in individuals who are physically active.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Stroke or transient ischemic attack (TIA): Although the patient is young, a stroke or TIA can occur at any age, and sudden loss of vision is a red flag symptom that requires immediate attention.
- Subarachnoid hemorrhage: This is a life-threatening condition that can cause sudden headache, visual disturbances, and diaphoretic episodes.
- Pituitary apoplexy: This is a rare but potentially life-threatening condition that can cause sudden headache, visual disturbances, and other symptoms.
- Rare diagnoses
- Multiple sclerosis: This condition can cause visual disturbances, including loss of vision, and may be accompanied by other neurological symptoms.
- Optic neuritis: This is an inflammatory condition that can cause sudden loss of vision and may be accompanied by pain and other symptoms.
- Arteriovenous malformation (AVM): This is a rare condition that can cause visual disturbances, including loss of vision, and may be accompanied by other neurological symptoms.