Background: Over 6 million people in the US have a diagnosis of atrial fibrillation. Given the increased risk for stroke and systemic embolism, many patients are treated with direct oral anticoagulants (DOACs) to reduce their risk. In the major trials comparing to DOACs to warfarin for stroke and systemic embolism prevention in atrial fibrillation, DOACs [...]

Case Presentation: A 5 year old boy presented with a 6 month history of headache (“my brain hurts”), vertigo, nausea and vomiting. No neurologic deficits noted on exam. MRI brain showed acute posterior circulation stroke involving the left cerebellar hemisphere and corpora medullaris. MRA head and neck were normal. Extensive work up evaluating for coagulopathic, [...]

Case Presentation: A six-year-old female presented with ataxia and vomiting. She was running and fell, striking her forehead on the ground. There was no loss of consciousness. She got up and continued to play. About an hour later, she had difficulty feeding herself, trouble walking and started vomiting. The patient had no history of fevers, [...]

Case Presentation: A 46-year-old female with a past medical history of hypertension, diabetes mellitus, and asthma who initially presented 2 weeks prior to the emergency department for right-sided facial paralysis and was diagnosed with idiopathic facial paralysis (Bell’s palsy). Despite being started on prednisone and valaciclovir, 2 weeks later she had suddenly developed left-sided facial [...]

Case Presentation: A 68 year-old male with hypertension and bipolar disorder presented with a 3-week history of memory deficits, weight loss, and increasing irritability. Exam revealed disorientation, dysarthria, and left sided weakness. MRI was suggestive of a right basal ganglia infarction. Patient was treated for a stroke and discharged. He was readmitted 30 days post-discharge [...]

Case Presentation: A previously healthy 37-year-old male presented to the Emergency Department (ED) with sudden onset nausea and dizziness that after he had turned and looked over his right shoulder. He experienced 3 episodes of emesis. Emergency Medical Services (EMS) were called due to his severe dizziness. Admit vitals were significant for a heart rate [...]