Case Presentation: 62 year old woman with Type 2 Diabetes Mellitus and hypothyroidism presented with nausea, vomiting, persistent left sided headache radiating from neck to left eye, left eye pain with left eye and eyelid paralysis for 2 weeks. Patient was well appearing with obvious left eye ptosis and left eye ophthalmoplegia. Examination revealed left cranial […]

Case Presentation: A 27-year-old man with metastatic gastroesophageal junction adenocarcinoma presents with five weeks of worsening thigh pain. Labs are notable for CSF with malignant cells. Brain and spine MRI reveal diffuse leptomeningeal carcinomatosis. His course is complicated by severe pain that requires increasing doses of opioids. During his hospitalization, the patient develops worsening headaches, […]