Melina Greer, 25, went to a hospital emergency room complaining of a severe headache, neck pain and decreased and blurred vision. She received a neurological consultation from neurology resident, Dr. Basad Essa, who noted that she was having difficulty performing an optic fundus examination.
An emergency physician later discharged Greer with a diagnosis of a complex migraine.
Two days later, she returned to the hospital with complete vision loss. A lumbar puncture led to a diagnosis of idiopathic intracranial hypertension.
Greer sued neurologist Dr. Ruggero Serafini, whom she claimed had consulted on her case during the first hospital visit, alleging he chose not to timely diagnose intracranial hypertension. It was alleged had she undergone a simple fundus examination and lumbar puncture, Greer asserted she could have been timely treated with acetazolamide and an LP (lumbar peritoneal) shunt and avoided additional vision loss.