Case Presentation: A 38-year-old Caucasian man without significant past medical history presented to the hospital with unintentional 20-pound weight loss, diarrhea, intermittent fevers up to 103 degrees, and fatigue over the preceding two months. On review of systems, he also had chronic joint pains in his feet and shoulders for the past year. He had [...]

Case Presentation: A 65 year-old woman with a history of renal cell cancer status post nephrectomy and breast cancer treated with lumpectomy and radiation presented with three weeks of progressive lower extremity weakness and confusion. She had poor short-term memory, word-finding difficulties, and difficulty walking. She had no fever, night sweats, or weight loss. Exam [...]

Case Presentation: A 53-year-old woman, with 30 pack-year smoking history, presented to the hospital with subacute posterior cephalgia associated with nausea, vomiting and photophobia. Review of systems was positive for an unintentional 15 pound weight loss and non-productive cough. She denied fever, recent travel or pet exposure.  She was not on any medications. Vital signs [...]

Case Presentation: : A 34-year-old female with history of migrainous headaches presented with complains of sudden onset, throbbing type of headache radiating to the back of the ear. This was associated with sudden loss of vision in the right eye. She also mentioned night sweats and unintentional weight loss in the last couple of months. [...]

Case Presentation: We present a 59-year-old female with a past medical history of uterine fibroids and osteoarthritis who initially presented to the emergency department with a stroke alert for 10 days of slurred speech and facial droop. The patient was traveling with her husband in San Diego 2 weeks prior. Upon her return, she noticed [...]

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 56-year-old male with a past medical history of hemophagocytic lymphohistiocytosis (HLH), in remission following chemotherapy in 2018, left MCA CVA in 2016 without significant residual deficits, restless leg syndrome, neurodegenerative motor neuron disease with lower extremity spasticity, and peripheral neuropathy was brought to the hospital for weeks of increasing confusion and generalized [...]

Case Presentation: A 66 year-old woman with Waldenstrom macroglobulinemia (WM), hypertension, and hyperlipidemia presented with acute altered mental status. She had been diagnosed with WM by bone marrow biopsy and was treated with rituximab, then maintained on thalidomide until 2 months prior to presentation. Her mother had suffered from multiple myeloma. Vital signs were normal. [...]

Case Presentation: A 23-year-old male with a history of migraines and a renal transplant presented to the ED with diffuse headaches and photophobia. He was treated with Ganciclovir and Doxycycline for positive HHV6 and Lyme disease, respectively. His MRI was negative for intracranial abnormalities but, CSF showed elevated protein and glucose. A repeat LP a [...]

Case Presentation: A 58-year-old female presented to the hospital with fevers and L upper extremity weakness. She had a history of neurosarcoidosis diagnosed two years previously and treated with prednisone, infliximab, and mycophenolate mofetil. She had discharged ten days ago after a prolonged hospitalization for evaluation of multiple R cerebral lesions and mild leptomeningeal enhancement. [...]