Case Presentation: A 46-year-old female with a history of amphetamine abuse, depression, and hypertension presented to the ED for acute onset of bilateral lower extremity weakness and urinary incontinence. She denied other associated symptoms. The patient’s neurologic exam was notable for symmetrically decreased lower extremities motor strength and reflexes to 2/5, decreased sensation below L1, [...]

Case Presentation: We report a 22 year-old male with no past medical history presented to the emergency department with acute onset of weakness, most pronounced in the lower extremities. The patient was last reported to be in his normal state of health the night prior to presentation in which he consumed approximately six beers. Upon [...]

Case Presentation: A 30 year-old Hispanic male with no past medical history was brought to ER status post fall after sudden onset of muscle weakness in extremities. He experienced mild intermittent muscles cramps and soreness while he was driving a car prior to the onset of the weakness. He had history of similar but lower [...]

Case Presentation: Introduction: Hypokalemic periodic paralysis (HOKPP) is characterized by transient episodes of muscle weakness and inability of muscle movement associated with hypokalemia. The paralysis typically affects the arms and legs, though the diaphragm and the tongue may also be affected.Case Description: A 50-year-old female with tobacco use and significant alcohol consumption presented with progressive [...]

Case Presentation: A 29-year-old Asian male with a one-year history of recurrent generalized muscle weakness presented to the emergency department with whole body paralysis. The patient’s symptoms began abruptly that morning, when he was unable to stand and exit a train due to lower extremity weakness, which generalized over the course of one hour. He [...]

Case Presentation: A 19-year-old Caucasian man, with no past medical history presented to ER with acute onset generalized muscle weakness, more pronounced in both legs, which started upon awakening in the morning. He reported 40 lbs weight loss over 2 months in spite of increased appetite. Patient denied palpitations, heat intolerance, dysphagia or change in [...]

Case Presentation: A 63 year-old male with a history of mantle cell lymphoma on rituximab, T2DM and hypertension, recently treated for COVID-19, presented again with fever, worsening shortness of breath and new onset bilateral foot weakness/numbness to the ankles. He tested COVID-19 positive 27 days prior to this admission and had a typical COVID-19 presentation [...]

Case Presentation: Hypokalemia, especially serum potassium concentrations of < 2.5 mmol/L, is a well-recognized etiology of generalized muscle weakness. While hypokalemia, weakness, and thyroid disorders are common clinical entities, thyrotoxic periodic paralysis (TPP) is a rare condition driven by both increased gene transcription and increased intrinsic activity of the Na-K-ATPase pump. Here, we present a [...]

Case Presentation: An 18 year old Asian man presented with sudden paralysis after a fall from a lofted bed during sleep. On arrival he reported inability to move his arms or legs. He denied any neck or back pain and did not experience any bowel or bladder incontinence. He reported no alcohol or drug use. [...]

Case Presentation: A 39-year-old Hispanic male presented to his primary care physician with progressive fatigue, leg weakness, and occasional falls. His past medical history was unremarkable. A clinical diagnosis of disk herniation was made and treated conservatively.  Two weeks later, he presented to our emergency department (ED) with upper and lower extremity weakness, unable to [...]