A 23-year-old female medical student was admitted on May 24, 1966, 1 hour after the sudden onset of severe neck pain with radiation to the entire head. There had also been profuse vomiting and mental confusion. Since these signs began immediately after a meal, food intoxication was suspected. Examination. On admission, stupor, nuchal rigidity, and bradycardia (50/minute) were observed. A right-sided Babinski was the only focal sign. The fundi were normal. Lumbar puncture yielded grossly bloody fluid under moderate pressure. There was no deviation of the midline on the echoencephalogram. Serological studies were negative.
No takes yet. Share an insight, caveat, or question.
Schürmann et al. (1968) studied this question.