Case Presentation: A 46-year-old female with a past medical history of hypertension, diabetes mellitus, and asthma who initially presented 2 weeks prior to the emergency department for right-sided facial paralysis and was diagnosed with idiopathic facial paralysis (Bell’s palsy). Despite being started on prednisone and valaciclovir, 2 weeks later she had suddenly developed left-sided facial [...]

Case Presentation: Syphilis is known as the “Great Imitator” for good reason. With its insidious onset and nonspecific presentation, it is often mistaken for other diagnoses or overlooked altogether. Here, we describe a case of an isolated facial nerve palsy as a rare manifestation of neurosyphilis. A 53-year-old man presented to urgent care with acute-onset [...]

Case Presentation: A thirty-one-year-old man presented to the ED complaining of right-sided facial droop of one-day duration. He also complained of left-sided facial numbness and tingling, right lower extremity shooting pain for one week, night sweats, 50-60 pound weight loss, fatigue for a few months. He denied vision changes, headache, focal weakness elsewhere on his [...]

Case Presentation: 38-year-old healthy female presented with left sided facial droop, dyspnea on exertion and rash. Weeks before, she had myalgias, subjective fevers and fatigue. Days prior to presentation, she developed bilateral lower extremity edema, a mildly pruritic leg rash, and exertional dyspnea. The day of admission, she developed left sided facial droop. Exam revealed [...]

Case Presentation: This patient was a previously healthy 33-year-old Native American female that had initially presented to urgent care with right-sided facial weakness and was prescribed steroids and valacyclovir. Two days later, she began to develop left-sided facial weakness despite treatment. Over the course of the next five days, the patient experienced worsening bilateral facial [...]