Case Presentation: A 75-year-old African-American female with a past medical history of hypothyroidism, hypertension, and Alzheimer’s dementia presented to the emergency room with altered mental status and concern for possible stroke; family also reported new seizure-like activity. Vitals on admission were significant for severe hypertension however, she was afebrile. Physical exam was limited due to [...]

Case Presentation: A 64-year-old Caucasian female patient with no significant medical history came to medical attention in December 2016 with an episode of generalized tonic clonic seizure. On admission, review of systems, vital signs and physical examination were unremarkable. The following laboratory tests were normal or negative: complete metabolic panel, complete blood count, urinalysis, chest [...]

Case Presentation: A 68-year old female with a history of uncomplicated alcohol dependence was brought in by ambulance after a witnessed seizure at home characterized by myoclonus for several minutes and prolonged post-ictal confusion. Upon presentation, she was altered, hypertensive to 183/118, and had a supraventricular tachycardia to the 160s broken with adenosine. The patient [...]

Case Presentation: A 23 year-old Central American male with a past medical history significant for an isolated seizure one year prior to present admission presents with seizure and headache. Vital signs, examination and laboratory studies at time of admission were unremarkable. CT head revealed a small eccentric nodule within a 1.0 x 0.8 x 1.1 [...]

Case Presentation: A 79-year-old male presented to the emergency department after a witnessed episode of unresponsiveness, jerking motions, urinary incontinence and post-ictal confusion. The patient’s wife denied a history of epilepsy but reported several months of progressive dysarthria and gait ataxia, for which he had been evaluated nine months earlier. Work-up was negative for hemorrhage, [...]

Case Presentation: A 63-year-old woman woman presented after multiple episodes of seizure. She had no prior history of seizures or alcoholism. The patient had a deceased donor renal transplant 6 months prior complicated by persistent right perinephric fluid collection treated with long term piperacillin-tazobactam therapy. Attempts to obtain microbiology were unsuccessful and patient was started [...]

Case Presentation: Human Herpes Virus 6 (HHV-6) is a member of the herpesviridae family. HHV-6 is the causative agent in roseola infantum, a usually mild and self-limiting childhood exanthem. HHV-6 is also associated with a variety of syndromes in recipients of hematopoietic stem cell transplantation (HSCT), including hepatitis, encephalitis, and bone marrow suppression. However, HHV-6 [...]

Case Presentation: A 29-year-old female with history of hypothyroidism, Bipolar affective disorder, tobacco use disorder and old head trauma with face reconstruction in 2004 who presented with a first-time seizure. She was trying to quit smoking and was on bupropion to help quitting. She continued bupropion for about one month but was unable to quit [...]