Case Presentation: This is the case of a 44-year-old Hispanic male with a history of polysubstance use (alcohol, marijuana and cocaine) and vitamin B12 deficiency presented to the emergency department with lower limb weakness, fasciculations, spasms, paresthesia, ataxia, left-sided blurry vision, emesis and intractable hiccups for several days. He initially symptoms started in September 2018 [...]

Case Presentation: A 77-year-old male with a history of lumbar spondylosis presented to the emergency department with 12 hours of lower extremity weakness, urinary retention, and saddle anesthesia. Two weeks before this visit, the patient presented to the emergency department with intractable hiccups, nausea, and vomiting and was ultimately discharged on baclofen and metoclopramide with [...]