• Am J Emerg Med · Nov 2018

    Case Reports

    Headache with Aura: A case report of ocular melanoma.

    • Anthony Hackett, Jonathan Stuart, Nathan Blessing, and Nathan Borden.
    • Darnall Army Medical Center, Dept. of Emergency Medicine, 36065 Sante Fe Ave, Fort Hood, TX 76544, United States.
    • Am J Emerg Med. 2018 Nov 1; 36 (11): 2135.e72135.e82135.e7-2135.e8.

    BackgroundHeadaches and visual complaints are common conditions encountered in the emergency department. While a patient's age, risk factors, and comorbidities often aid in risk stratification and guide emergency department evaluation, atypical presentations of serious disease may still occur in young otherwise healthy patients CASE: In this vignette we discuss a case of ocular (choroidal) melanoma in a 21 year-old female patient who presented with recurrent photopsia and headaches.DiscussionOcular melanoma is the most common non-skin melanoma and should be considered by the emergency physician for patients with visual deficits. Likely presentations and risk factors for ocular melanoma will be discussed as well as emergency department and specialty management.Copyright © 2018. Published by Elsevier Inc.

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