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Clinicopathological case: headache and systemic inflammatory illness—Occam vs Hickam
  1. James D Bridson1,
  2. Edward J Newman2,
  3. Helen E Harris3,
  4. Derek AJ Smith1,
  5. Richard J Davenport1
  1. 1Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
  2. 2Department of Neurology, Institute of Neurological Sciences, Glasgow, UK
  3. 3Department of Rheumatology, Western General Hospital, Edinburgh, UK
  1. Correspondence to Dr James Bridson, Department of Clinical Neurosciences, Western General Hospital, Edinburgh EH4 2XU, UK; james.bridson{at}


A 63-year-old woman presented with a sudden headache, which persisted and subsequently changed in character. Over time, constitutional features developed, leading to an unexpected diagnosis. This report documents the clinicopathological conference at the Association of British Neurologists Annual Meeting 2019.

  • Vasculitis
  • MRI
  • Image analysis
  • Neuroradiology
  • Headache

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  • Correction notice This article has been corrected since it was published Online First. The provenance and peer review section was published incorrectly and has since been updated.

  • Contributors JDB: initial draft, manuscript revisions. EJN: case discussant, manuscript revision. HEH: manuscript revision. DAJS: preparation of images. RJD: overall concept, manuscript revisions.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Commissioned; externally reviewed by Neil Scolding, Bristol UK.

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