Case Presentation: A 19 yo female presented to our hospital with the complaint of lower extremity weakness and paresthesias. She had a history of episodic abdominal pain with vomiting, headaches, and paresthesias. Prior evaluations for these symptoms had led to diagnoses of fibromyalgia, migraine headaches and cyclic vomiting with erosive esophagitis. She had experienced lower [...]

Case Presentation: An eighteen-year-old woman presents with progressively worsening weakness in her legs as well as numbness throughout her body. She also endorsed rhinorrhea, nasal congestion, abdominal discomfort, nausea, vomiting and decreased urine output. Her past medical history included depression and asthma. She received a flu vaccine 30 days prior to symptom onset and denied [...]

Case Presentation: 42 year old male with history of active substance abuse and multiple psychiatric diagnosis who presented with acute onset of progressive weakness and multiple cranial nerve palsies (extra ocular, facial and bulbar involvement) in the setting of recent IV and subcutaneous heroin use. Patient initially had onset of generalized fatigue, dysarthria and left [...]