Case Presentation: A 58-year-old female presented to the emergency department after a lower lip laceration from slipping in her bathtub. She has a history of chronic trigeminal neuralgia and is now complaining of progressive weakness, imbalance over the past year, memory loss, and urinary incontinence for the past two days. On exam, the patient was [...]

Case Presentation: A 14-year-old female with a history of hydrocephalus status-post ventriculoatrial (VA) shunt placement five years prior presented for acute lethargy characterized by difficulty waking her from sleep. Vital signs were T 36.6 C, pulse 72, respirations 20, BP 148/97, and SpO2 100% with exam notable for lethargy, spontaneous eye and limb movement, pupils [...]

Case Presentation: A 78 year old previously healthy male presented to the hospital with 1 week of worsening confusion, shuffling gait, headache, and diarrhea. On admission, he was only oriented to person with no focal neurological deficits. Initial vitals were significant for a temperature of 49.2 oC. Imaging on admission including a chest x-ray, CT [...]

Case Presentation: A 77 year-old female without significant history presented with six months of urinary incontinence, six weeks of progressive confusion and falls, and one day of decreased speech and poor appetite. During two recent hospitalizations for acute encephalopathy, imaging revealed a frontal lobe meningioma, acoustic neuroma, and diffuse ventricular enlargement.On admission, the patient was [...]