Case Presentation: An 83 year-old female with history of hypertension presented to the emergency department with altered mental status for the past 2 days. Family reported patient to have a low impact fall, 2 weeks prior. In route, patient was noted to be febrile at 101.7˚F. Upon arrival, vitals were stable. Patient was found to [...]

Case Presentation: A 65-year-old woman with antiphospholipid syndrome (APLS), and history of multiple lower extremity deep vein thrombosis (DVT) and miscarriages, on warfarin presented with syncope, fall, and head-strike. She was found to have an acute subdural hematoma (SDH) in the interhemispheric fissure and a non-occlusive DVT in the left femoral vein. Initial labs showed [...]

Case Presentation: A 74-year-old female missionary without any past medical history was found unresponsive on the floor and brought to the emergency room. On initial physical exam she was encephalopathic but without any focal neurological deficits and an otherwise normal physical exam. Laboratory results including toxicology were all normal. CT scan of the head showed [...]

Case Presentation: Intracranial subdural hematoma (ISH) is a rare and fatal complication of spinal anesthesia (SA); therefore a high index of suspicion for ISH should be considered when a case of suspected postdural puncture headache (PDPH) does not improve with conservative management. A 36-year-old female presented to the emergency room complaining of worsening headache of [...]

Case Presentation: A 55-year-old female presented to the ED with 1 week of worsening “throbbing” headache. She reported having a continuous headache after riding a roller coaster one week ago. She denied fever, neck stiffness, weakness. She denied head trauma or recent illicit drug use Past medical history was significant fora right-sided non-traumatic subdural hematoma [...]