Case Presentation: A 27-year-old man with metastatic gastroesophageal junction adenocarcinoma presents with five weeks of progressively worsening bilateral thigh pain. Admission exam is notable for a normal neurological exam. Labs are notable for CSF with malignant cells. Brain and spine MRI reveal diffuse leptomeningeal carcinomatosis. During his hospitalization, the patient develops dizziness and leg weakness […]

Case Presentation: Ms. Y. is a 61‐year‐old salad bar chef with a medical history of dyslipidemia and osteoporosis who was admitted with fever, chills, hot flushes, and extreme fatigue for 2 days. On the day of her admission, she also experienced epigastric pain, shortness of breath, chest pain, diaphoresis for a short duration, and a […]

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, […]