Case Presentation: Pachymeningeal enhancement (PME) is a radiological phenomenon describing the enhancement of the dura and outer layer of the arachnoid meninges best appreciated on contrast-enhanced MRI. We present a case of diffuse PME in the setting of a transient ischemic attack (TIA) which has been previously unreported. An 83-year old female with a history […]

Case Presentation: A 54-year-old female with essential hypertension, hyperlipidemia, hypothyroidism and MGUS presented to Wheeling Hospital complaining of weakness, dyspnea on exertion and right lower extremity pain for two weeks. Patient was treated for a right gastrocnemius DVT, acute SARS-CoV-2 pneumonia and pulmonary emboli in right middle and lower lobe pulmonary artery branches with smaller […]

Case Presentation: 55-year-old male with past medical history of diabetes mellitus type 2, complete heart block status post pacemaker, nonischemic cardiomyopathy and Crohn’s disease was admitted for headache, loss of consciousness and seizures. Physical exam showed nuchal rigidity. Complete blood count showed mild leukocytosis. Urinalysis was benign and x-ray chest didn’t show any infiltrates. CT […]

Case Presentation: A 26-year-old male with no significant history presented with two days of fevers, headaches, myalgias, and confusion. On arrival to the hospital, he was febrile to 104.5F, responsive to commands but lethargic. He was warm, diaphoretic, with no nuchal rigidity and negative Kernig and Brudzinski signs. Neurological and ophthalmologic exams were noncontributory. Laboratory testing showed a […]

Case Presentation: A 57-year-old female presented with a three-month history of confusion and weight loss secondary to decreased oral intake, with three weeks of new onset paranoia. Family reported she exhibited disorganized behavior and hallucinations, associated with urinary incontinence, unsteadiness, dysphagia, and odynophagia. Medical history was negative for psychiatric illness or STI. Her family history […]