Case 186

Medical history

A 24-year-old female patient has a history of severe headache in stabbing quality, localized at left temporal region. It started a month ago, on a daily basis frequency, which subsides with acetaminophen use. She also reports concurrent symptom of right ocular pain and progressive reduction of left eye visual acuity in the past 15 days. She was admitted in HC-UFMG Hospital, and a head CT scan was performed (image 1). After two days of hospital admission, she presented worsening of visual impairment.

Based on clinical history and images presented, which is the most likely diagnosis?

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