Original Publication
Open Access

Headache With a Normal MRI

Published: May 19, 2010 | 10.15766/mep_2374-8265.7857

Included in this publication:

  • User Guide.doc
  • Case Writeup.doc
  • Exhibit CT.jpg
  • Exhibit MRI.jpg
  • Exhibit Small CT Head Bleed.jpg
  • IPH Debrief.ppt
  • MRI Report.doc

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


This case involves an encounter following an outpatient MRI in a 58-year-old woman with a history of lung cancer on anticoagulation. The learner must evaluate a difficult presentation of an intracranial hemorrhage with multiple potential areas for suboptimal care due to the limitation of advanced imaging, complex medical confounders, and need for advanced critical thinking. The patient suffers an adverse outcome if diagnostic imaging is not repeated in the emergency department. The case is designed to be utilized with a high-fidelity simulator but is also amenable to case presentation and/or roundtable discussion with exhibits. Upon conclusion of the case, the scenario can be debriefed utilizing an included PowerPoint slide show. This case has not undergone formal testing for training purposes. It is available for teaching case files and simulation training based on the materials provided with the appropriate diagnostic imaging.

Educational Objectives

By the end of this case, learners will be able to:

  1. Identify high-risk clinical scenarios.
  2. Recognize limitations of diagnostic studies.
  3. Identify an atypical presentation.

Author Information

  • Nathaniel Schlicher, MD, JD: Kettering Medical Center
  • Raymond Ten Eyck, MD, MPH: Wright State University

None to report.

None to report.


Schlicher N, Ten Eyck R. Headache with a normal MRI. MedEdPORTAL. 2010;6:7857. https://doi.org/10.15766/mep_2374-8265.7857