Case Presentation: A 70-year-old female with a past medical history of hypertension, type 2 diabetes mellitus, dementia, Parkinsons, and iron deficiency anemia presented to the emergency department due to abnormal lab results. Upon arrival, her hemoglobin was 6.4 and she received 2 units of packed red blood cells. The next day, the patient underwent esophagogastroduodenoscopy [...]

Case Presentation: A 32-year-old female with focal epilepsy presented with several episodes of drop attacks with associated loss of consciousness (LOC). There were no witnessed tonic-clonic movements or prolonged post-event confusion. There were no prodromal symptoms including chest pain, palpitations, or features of increased parasympathetic tone. Vital signs and physical exam were normal. Initial electrocardiogram [...]

Case Presentation: A 25-year-old female with a history of Systemic Lupus Erythematosus (SLE), lupus nephritis, cardiomyopathy, transient ischemic attack, and epilepsy presented as an ICU transfer for Altered Mental Status (AMS). The patient initially presented to an outside hospital for this complaint, which was attributed to seizures. Her course was complicated by severe hypotension, again [...]

Case Presentation: A 41-year-old male with a history of intravenous drug use presented with status epilepticus. His seizures were preceded by episodic catatonia, hallucinations, and paranoia over the last two months. He was intubated and admitted to the ICU for evaluation of acute encephalopathy and seizures. Collateral history revealed absence of fevers or headache, and [...]

Case Presentation: A 27 year old woman with systemic lupus erythematosus (SLE) and history of a single seizure episode presented with acute altered mental status. The patient was initially disoriented and nonverbal, able to open eyes but unable to track, intermittently responding to commands, and later deteriorating, becoming obtunded and eventually comatose. Her NIH Stroke [...]

Case Presentation: A 53-year-old male with no past medical history of seizures, and an otherwise limited medical history aside from a remote stroke, was admitted after witnessed seizure activity. He was loaded with Keppra. However, due to ongoing agitation and airway concerns, he was intubated and sedated with propofol. A CT of his head showed [...]