Student Doctor Network

How would you manage this patient’s neurologic impairment?

A 28-year-old female presents to the emergency department with an occipital headache and neck pain. She mentions her symptoms appeared after hyperextending her neck while playing tennis the day before. Examination reveals dysdiadochokinesia and decreased lateral vision. A contrast head and neck CT demonstrate the findings seen here. Based on this patient’s probable diagnosis, which of the following treatments is most appropriate?

A. Surgical consultation
B. COX-2 inhibitor
C. Observation
D. Antithrombotic therapy

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