Case Presentation: A 53-year-old female with chronic small fiber polyneuropathy and erythromelalgia presented with severe headaches, nausea, vomiting, diarrhea, body aches, photophobia, and neck stiffness for two days. Symptoms started one week after receiving intravenous immunoglobulin (IVIG) for an erythromelalgia flare. On presentation to the ER, she was afebrile and physical examination was unremarkable. Respiratory [...]

Case Presentation: The patient, a 29-year-old G1P1 female, presented to the emergency department with a 3-day history of double vision, frontal headache, and gait instability. Eye examination was significant for asymmetric bilateral internuclear ophthalmoplegia. Admission labs demonstrated mild leukocytosis without left shift and elevated inflammatory markers including complement levels and IL-6. An MRI of the [...]

Case Presentation: A 21-year-old female with prior history of aseptic meningitis presented to the emergency department with progressively worsening headaches and drowsiness for 4 days. On physical examination, she was oriented only to herself but otherwise had no focal neurological deficits or nuchal rigidity. Kernig and Brudzinski sign were negative. Labs were unremarkable, except for mildly [...]