Case Presentation: A 29-year-old man was brought to our emergency department with a new-onset witnessed seizure. He was recently prescribed oral omeprazole for heartburn. He had no known medical conditions but had a family history of MEN1 in his father and paternal uncle. Initial labs showed hypercalcemia, with elevated PTH. MRI brain showed a sub-centimeter […]

Case Presentation: A 38 yr. old female presented with personality and behavior changes for the last 4 months which were described as episodes of impulsivity and outbursts of anger. Patient endorsed frequent episodes of headache and confusion caused by strong odors such as spices and garlic. She had progressive short-term memory deficit, often asking same […]

Case Presentation: A 75-year-old male presented to the Emergency Room for progressive altered mental status, speech difficulty, and generalized weakness over several days. He also reported a couple days of polyuria and polydipsia. Past medical history included Non-Insulin Dependent Diabetes Mellitus and Hypertension. Initial vital signs were within normal limits. General physical exam was unremarkable, […]

Case Presentation: Autoimmune encephalitides comprise a rapidly evolving group of immune-mediated disorders characterized by inflammation of the brain parenchyma. Patients with this disorder manifest a wide spectrum of neurological and psychiatric presentations developing over days to months. One sub-type is anti-NMDAR-encephalitis, which is characterized by complex neuropsychiatric features and the presence of IgG antibodies against […]

Case Presentation: A 32-year-old female with anxiety and depression presented to the ED after seizure episode. Upon admission, the patient was hemodynamically stable with normal vital signs and laboratory analysis. Physical examination revealed an unresponsive, well-nourished female with her eyes closed, jaw clenched, and arms and legs rigidly extended, consistent with a dystonic episode. She […]