Case Presentation: This is a 68 year old female with a past medical history of atrial fibrillation, hypothyroidism, osteoarthritis and right hip replacement who came into Mountainside Medical Center initially for sepsis secondary to a urinary tract infection. Once in the hospital the patient incidentally mentioned having a six month history of bilateral lower extremity [...]

Case Presentation: A 60-year-old female with metastatic breast cancer presented with involuntary irregular forceful and painful contractions of facial muscles and dystonic posturing of her hands and feet lasting 5 to 30 minutes. Episodes sporadically occurred up to 20 times daily. MRI brain and spinal cord showed no evidence of metastatic disease or dural enhancement. [...]

Case Presentation: Stiff Person Syndrome (SPS) is a rare chronic autoimmune condition characterized by progressive muscle rigidity, postural instability, axial and limb stiffness, anxiety, phobias, and intermittent painful muscle spasms. The prevalence is estimated at 1-2 cases per million. Affected persons are aged 20-50 years with a female predominance. Its pathophysiology involves antibodies against the [...]