Differential Diagnosis
- Single most likely diagnosis
- Meningioma with associated symptoms: The patient has an established diagnosis of osteomeningioma on the frontal lobe, which is likely causing her symptoms of headaches, brain fog, and memory loss. The thermograph scan showing a red area in the brain supports this diagnosis, as it may indicate increased blood flow or inflammation associated with the tumor.
- Other Likely diagnoses
- Cranio-cervical instability: The patient's symptoms and history suggest possible cranio-cervical instability, which could be contributing to her headaches and other symptoms.
- Hormone-related complications: The patient's long-term use of progesterone pills for heavy bleeding may be related to the development of the osteomeningioma, and hormonal imbalances could be contributing to her symptoms.
- Migraines or other headache disorders: The patient's headaches and sensitivity to heat could be indicative of a migraine or other headache disorder.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Brain edema or swelling: Although the MRI without contrast shows no compression, it is essential to rule out brain edema or swelling, which could be life-threatening if left untreated.
- Venous sinus thrombosis: The patient's symptoms and history of hormone use increase her risk for venous sinus thrombosis, which is a potentially life-threatening condition.
- Pituitary apoplexy: Although less likely, pituitary apoplexy is a rare but potentially life-threatening condition that could present with similar symptoms.
- Rare diagnoses
- Neurosarcoidosis: This rare condition could present with similar symptoms, including headaches, brain fog, and memory loss, although it is less likely given the patient's established diagnosis of osteomeningioma.
- Cerebral vasculitis: This rare condition could cause similar symptoms, including headaches and sensitivity to heat, although it is less likely given the patient's history and established diagnosis.