Case Presentation: A 21 year-old man on the rehabilitation service was evaluated for fever and headache. Approximately 1 year previously he was found to have a posterior fossa medulloblastoma that was resected and repaired with a bovine duragraft. Post-operative MRI showed no abnormal contrast enhancement and a lumbar puncture (LP) was unremarkable. Brain and spinal [...]

Case Presentation: An otherwise healthy 21 year old woman presented to an outside hospital with developing headache, confusion, twitching, nausea and vomiting. Workup included an unremarkable head CT with LP consistent with aseptic meningitis. Viral meningoencephalitis was suspected, she improved and was discharged. She had recurrence of intermittent frontal headaches with associated dizziness, bilateral lower [...]

Case Presentation:   A 47-year-old woman with history of immunoglobulin G (IgG) deficiency presented with severe headache, fever, vomiting, neck pain and photophobia. On the day prior to admission, she received first dose of Intravenous immunoglobulin (IVIG) infusion for recurrent bacterial infections refractory to antibiotic prophylaxis. On examination, her temperature was 100 °F and vital [...]

Case Presentation: A previously healthy 20-year-old male presented with sudden onset urinary retention. He reported mild headaches, fevers, fatigue later followed by acute urinary retention associated with lower abdominal and back pain. Last void was over 24 hours ago. Vitals were stable except for a temperature of 39.9°C. No cervical neck stiffness, meningeal irritation or [...]

Case Presentation: A 64-year-old male with a medical history of left-occipital stroke and alcohol use disorder presented with progressively worsening dizziness & weakness of his extremities ongoing for six months. The complaints were associated with numbness of fingertips and toes with gait instability resulting in repeated falls. He correlated the symptoms with starting baclofen (taking [...]

Case Presentation: A 62-year-old woman with a history of diabetes mellitus, hypertension, and hypothyroidism presented with a severe headache which was posterior, waxing and waning in nature, and associated with nausea and vomiting. The headache started suddenly five days earlier and had awoken her from sleep. At that time she had presented to the emergency [...]

Case Presentation: A 28-year-old man with ulcerative colitis treated with adalimumab presented with headache, fever and sinus symptoms that progressed over two weeks to neck stiffness, “clouded” thinking, and intermittent left arm and facial numbness. On physical examination, he had normal cardiorespiratory findings. He had mild nuchal rigidity but an otherwise normal neurologic examination. CT [...]

Case Presentation: A previously healthy 19-year-old woman presented to the hospital for a persistent headache with photophobia, nausea, and vomiting that started one week prior. Previously, she was evaluated in the emergency department three times with a negative brain MRI with contrast as well as MRI angiography and venography. On admission, given lack of improvement, [...]

Case Presentation: 55-year-old male with past medical history of diabetes mellitus type 2, complete heart block status post pacemaker, nonischemic cardiomyopathy and Crohn’s disease was admitted for headache, loss of consciousness and seizures. Physical exam showed nuchal rigidity. Complete blood count showed mild leukocytosis. Urinalysis was benign and x-ray chest didn’t show any infiltrates. CT [...]

Case Presentation: A 53-year-old female with chronic small fiber polyneuropathy and erythromelalgia presented with severe headaches, nausea, vomiting, diarrhea, body aches, photophobia, and neck stiffness for two days. Symptoms started one week after receiving intravenous immunoglobulin (IVIG) for an erythromelalgia flare. On presentation to the ER, she was afebrile and physical examination was unremarkable. Respiratory [...]