Background: Central nervous system medication (CNS med) use among older adults is associated with high morbidity and mortality. This study described patterns of CNS medication use, and identified people most likely to have CNS medications initiated or deprescribed around hospitalization. Methods: Retrospective cohort study using electronic health record data from 3-hospitals. Patients aged 65 years [...]

Case Presentation: A 46 year-old man presents with one week of intermittent headaches. The pain started in his neck and radiated to the eyes. There was associated nausea and vomiting. On the day of admission, he experienced visual hallucinations prompting him to seek medical care. Further history revealed he was diagnosed with CML last year [...]

Case Presentation: A 76-year-old Hispanic man with poorly-controlled diabetes mellitus complicated by nephropathy presented to a hospital with 2 weeks of nausea, vomiting, and progressive lethargy. During the initial evaluation, he developed a focal right-sided seizure advancing to a generalized tonic-clonic seizure lasting 30 seconds. He was afebrile, hypertensive, and non-tachycardic with normal saturation on [...]

Case Presentation: A 23 year old female with no significant medical history  presented to another hospital with progressive paresthesisas and lower extremity weakness for 6 weeks. Within 24 hours of admission she rapidly declined, requiring intubation and mechanical ventilation. She was sent to our facility for further management. On arrival she had flaccid, areflexic quadriparesis [...]

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 female with a history of kidney transplant on immunosuppressive medications presented with worsening confusion and dysarthria for two days. She also reported headache, intermittent fever, and shortness of breath for one month before her presentation. On presentation, her temperature was 103 F, heart rate was 131 b/m, with normal blood pressure [...]