Case Presentation: A 26 year old previously healthy male presented with complaints of right leg weakness and urinary retention.  Three weeks prior, he experienced back pain in the setting of a lifting injury at work and was treated symptomatically for low back strain.  Two weeks later, he began having right leg weakness and tingling which [...]

Case Presentation: : A 50-year-old African-American woman with history of hypothyroidism presented to the hospital with one week of sharp right orbital headaches, numbness, and itching. Associated symptoms included numbness from the eye to the mouth, pruritus, and dysphagia. Physical exam was remarkable for diminished pin prick and temperature sensation in the V1-V3 distribution on [...]

Case Presentation: This is a 65 y.o. male with PMHx significant for Monoclonal Gammopathy of Undetermined Significance (with prior negative skeletal survey and negative bone marrow biopsy), CKD stage III who presented with chief complaint of lethargy, bilateral extremity weakness, and dysarthria. Patient stated that he has been experiencing such symptoms for the past year, [...]

Case Presentation: A 78-year-old African American female with a history of hypertension, coronary artery disease, heart failure with reduced ejection fraction, chronic kidney disease (CKD) stage 4, and systemic sarcoidosis in remission, presented for an acute change in mental status with delusions, and memory loss for 1 week. She had a history of dysphagia with [...]

Case Presentation: 47-year-old African American incarcerated male presented with headache, new seizures, and blurry vision. Spinal fluid showed high protein, lymphocytes, mildly elevated adenosine deaminase, and low glucose. AFB, bacterial, fungal and viral studies were negative. MRI revealed severe basilar meningitis with enhancing nodular density. RIPE (Rifampicin, Isoniazid, Pyrazinamide, Ethambutol) was started, followed by RI [...]

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. [...]

Case Presentation: A 76 year old male with a history of hypertension and hyperlipidemia presented with acute onset ascending weakness, perioral tingling, and loss of temperature sensation. The patient’s profound weakness progressed over the course of a few days, with subsequent diplopia, hallucinations, and confusion. He received the influenza vaccine a few weeks prior, and [...]

Case Presentation: A 59-year-old woman with a history of ductal carcinoma in situ status post mastectomy presented with dizziness exacerbated by change of head position. Patient endorsed a history of intermittent dizziness in the past few weeks, which caused her to fall on her right hip on three occasions. Hip radiograph showed no evidence of [...]

Case Presentation: A 28-year-old man with ulcerative colitis treated with adalimumab presented with headache, fever and sinus symptoms that progressed over two weeks to neck stiffness, “clouded” thinking, and intermittent left arm and facial numbness. On physical examination, he had normal cardiorespiratory findings. He had mild nuchal rigidity but an otherwise normal neurologic examination. CT [...]

Case Presentation: 39 year-old African-American male presented with dizziness, worse with movement and short-term memory loss, remaining oriented, without visual changes, and no focal deficits. He complained of chronic sinusitis for the past year. CT head showed a hyperdense mass with surrounding white matter edema in the left basal ganglia. Confirmed by leptomeningeal enhancement by [...]