13th August 2024

A 20-year-old female is brought into A&E by her friend who witnessed her having a seizure at home

A 20-year-old female is brought into A&E by her friend who witnessed her having a seizure at home 1 hour ago which self terminated. She reports that the patient had been complaining of a headache for the previous 3 days. She has a past medical history of depression and anxiety. She takes the combined oral contraceptive pill and has no allergies. On assessment, her observations are normal. Her BMI is noted to be 35. You perform a full neurological examination. You note that her right upper limb power is 4-/5 and her right lower limb power is 4+/5. An MRI head is performed which does not identify any cause for her symptoms. An LP is also performed which showed an opening pressure of 22 cmH₂O (5-20). The lab results from the lumbar puncture are pending.

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.