Case Presentation: A 21 year old Spanish-speaking male immigrant from Guatemala with no significant past medical history presented to the emergency department (ED) with nausea, vomiting, neck pain, and vertigo. He was noted to have bilateral horizontal nystagmus on exam. A CT scan of the head was normal, and lumbar puncture (LP) with cerebrospinal fluid […]

Case Presentation: A 38-year-old Hispanic female with chronic constipation, anemia and numerous transfusions secondary to uterine bleeding presented to the emergency department with a two-week history of worsening bilateral lower extremity ascending numbness and weakness extending to her abdomen causing her difficulty with walking. She reported blurry vision, headaches, difficulty breathing, and 24 hours of […]