Case Presentation: A 75-year-old male presented to our institution with lethargy and unremitting headache of several weeks duration. His history was significant for squamous cell carcinoma of the lung status post lobectomy with recurrence 4 years later being treated with palliative radiation, chronic obstructive pulmonary disease (COPD), and hypertension. He described his headache as daily, [...]

Case Presentation: A 9-year-old male with 5-day history of headache, fever, somnolence, red eyes and fatigue presented to the ED due to concern for Kawasaki disease. In the ED, frontal headache, fever, photophobia, and neck pain were noted raising concern for meningitis. Screening MRI brain did not demonstrate acute intracranial abnormality, but did show sinus [...]

Case Presentation: A 48-year-old female with past medical history including obesity, T2DM, and tobacco use presented with right eye swelling, pain, and vision loss. She began noticing a dark spot in her right eye about three months prior, which progressed to a pressure-like sensation. A CTA of head and neck showed cavernous sinus hyperdensity. MRI [...]

Case Presentation: A 45 year-old Hispanic-female was admitted from ophthalmology clinic to the internal medicine ward for 3 week history of left-sided blurry vision, diplopia, opthalmoplegia, ptosis, peri-orbital pain, occipital headaches, impaired V1 and V2 facial sensation, and intermittent ear pain. Her medical history was pertinent for rheumatoid arthritis on immunosuppression and poorly controlled type [...]

Case Presentation: A 54-year-old male was referred to our hospital with a headache and left ophthalmalgia since a few weeks. The patient had a 6-month-old history of odontalgia and gingivalgia, but lived an otherwise healthy lifestyle. Physical examination revealed left conjunctival hyperemia, periorbital swelling, and vertical diplopia. In addition, contrast-enhanced head computed tomography (CT) and [...]

Case Presentation: A 65-year-old female with a history of sphenoid sinusitis status post recent fiberoptic endoscopic sinus surgery presented with one week of neck stiffness and two days of fever, headache, photosensitivity, and diplopia. Vital signs were: temperature 102.6, heart rate 82, respiratory rate 20, blood pressure 122/45 and 95% room air O2 saturation. Physical [...]

Case Presentation: A 20-year-old male presented with a one-week history of high fevers, headaches and nasal congestion, and he was diagnosed with Covid-19. Over the following three days, he developed left eye proptosis, altered mental status and photophobia. Prior to infection, the patient was in good health, did not smoke and had no family history [...]

Case Presentation: A 51 year old female with a history of schizophrenia, COPD, and obstructive sleep apnea presented to hospital with complaints of generalized fatigue and acute onset of right-sided extremity weakness. The patient’s family members noted progressive lethargy and confusion on the day of admission. Family members reported the patient’s difficulty with ambulation and [...]

Case Presentation: A 75-year-old man with a past history of diverticulitis was admitted five days prior for a small bowel obstruction (SBO). At the time of admission, he had a sore throat and nasal congestion, and a respiratory pathogen panel was positive for RSV. On admission, a nasogastric tube (NG) was placed for decompression with [...]

Case Presentation: A 73-year-old female with a history of hypertension and migraines presented to the ER with nausea, headache, and photophobia. She underwent CTA which showed a small right ICA aneurysm with no other acute abnormalities. She was treated and released but returned to the ER the next day with worsening symptoms. LP was unremarkable. [...]