Background: Heatstroke is a life-threatening condition representing the most severe manifestation of heat-related illnesses. It is characterized clinically by extremely elevated body temperature, neurologic dysfunction, and multiorgan failure. Unmitigated fossil fuel use is increasing global average temperatures, which may impact the incidence of heatstroke admissions. Vulnerability to heat-related illness varies within communities based on exposure [...]

Case Presentation: A 41-year-old male with a history of dextro-transposition of the great arteries (D-TGA) presented after thirty minutes of global aphasia. Symptoms resolved prior to arrival, and the patient noted that this was the second episode in the last three months. Surgical history was notable for Mustard repair of D-TGA at the age of [...]

Case Presentation: A 55-year-old female with a past medical history of seizure disorder and prior opioid use presented to an outside emergency department with a 1-day history of expressive aphasia and headache. Her NIH Stroke Scale was 4. CT head w/o contrast demonstrated a subacute infarct within the left middle cerebral artery (MCA) territory and [...]

Case Presentation: 21-year-old Caucasian male with no known medical history, has brought himself to the ED for evaluation of short-term memory issues. The patient denies any fever or chills, weakness, head trauma or similar complaints in the past. He exercises regularly, denies smoking alcohol or drug use. He has been using was finasteride since an [...]

Case Presentation: A 48-year-old male with a past medical history of deep vein thrombosis (DVT) and pulmonary embolism (PE) presented with one day of severe chest pain, dizziness, and brief loss of consciousness resulting in a head injury. EKG showed T wave inversions in inferior leads and elevated troponin to 625 within a few hours. [...]

Case Presentation: Vertebral arterial dissections (VAD) while commonly associated with strokes in younger patients (below age of 45) can occur at any age. They are typically seen in patients with head or neck trauma having underlying vascular risk factors including hypertension, hyperlipidemia, tobacco use, and connective tissue disorders. Growing interest in physical fitness has resulted [...]

Case Presentation: A 66-year-old female presented to the ED with generalized weakness, tremor, diplopia, and slurred speech. The patient’s medical history included TIA, hyperlipidemia, metabolic syndrome, anemia, BPPV, fibromyalgia, syringomyelia, DDD and depression. Notably, this patient was diagnosed with bilateral neuropathy two months prior and self-reportedly experienced gait abnormalities one month prior. Initial exam findings [...]

Case Presentation: A 26-year-old female with PMH migraines presented to the ED with a 3-day history of headaches unlike her migraine headache. The headache was located in the occipital region, pressure-like, not alleviated by acetaminophen, and was associated with blurred vision, left ear throbbing, and neck pain. She also reported recent head trauma. She denied [...]

Case Presentation: Dolichoectasia is a rare disorder of the cerebral arteries known to causes tortuosity, elongation, and dilation of the affected vessel. Most commonly involved vessels are those of the vertebrobasilar circulation, with an elevated risk of ischemic infarct. Here we have a case of such a rare presentation of ischemic stroke in the setting [...]

Case Presentation: 46-year-old male with past medical history of nicotine dependence was seen in the emergency department as code neuro with chief complaints of right arm/leg weakness and numbness which started 2 hours ago while he was playing video games. Physical exam showed right sided facial droop with power 0/5 in right upper extremity and [...]