Case Presentation: 62-year-old female with a past medical history of diabetes mellitus and breast cancer in remission presented to the emergency department (ED) with complaints of intermittent frontal headache for 2-3 weeks progressing to 1 day of fever, altered mentation, aphasia, and vomiting. In the ED, patient was afebrile with stable vital signs. Initial labs […]

Case Presentation: 39-year-old male with history of previously treated TB meningitis 15 years ago, chronic hydrocephalus who received endoscopic third ventriculostomy few months ago, presented again with headaches and was found to have hydrocephalus. Patient received Ventriculoperitoneal shunt placement and CSF was obtained after the procedure. CSF studies showed (216-WBCs lymphocytic predominant fluid 81 %), […]