Case Presentation: A 31-year-old male with past medical history of narcolepsy, migraine, anxiety, depression, and motor tics disorder presented to the hospital complaining of headache, left sided weakness and intermittent left upper extremity paresthesia for 3 days. Physical examination was remarkable for decreased left upper extremity sensation; motor strength was 5/5 in all 4 extremities. [...]

Case Presentation: An 83-year-old male with type 2 diabetes (hemoglobin A1C of 10.9) and recurrent herpes zoster presented with 3 days of worsening unilateral facial pain, headache, rash, and nausea. Of note, the patient had been vaccinated with the live varicella zoster virus (VZV) vaccine (Zostavax) 3 years prior. Physical exam revealed a right sided [...]

Case Presentation: 62-year-old male admitted following new onset generalized tonic clonic seizure lasting 5-6 minutes witnessed by mother. Per EMS on scene, he was agitated and required ketamine and midazolam while on route to the hospital. Upon admission, he was hemodynamically stable with physical exam only remarkable for raised maculopapular rash extending from the left [...]

Case Presentation: A 55-year-old female with history of hypertension, fibromyalgia, systemic lupus erythematosus, radiculopathy, anxiety disorder, and childhood varicella presented to an outside hospital for new onset altered mental status. She was diagnosed with acute non-hemorrhagic stroke of the right occipital lobe and anterior right frontal lobe without known cause or findings suggestive of vasculitis [...]

Case Presentation: A 63-year-old woman presented with a 4-day history of progressive dysphagia, first to solid food, then to liquids and oral secretions. She endorsed hoarseness and mild lateral neck and chin pain, but denied trauma, headache, neck stiffness, and rash. Her past medical history included gastroesophageal reflux and remote esophageal erosions with normal follow-up [...]

Case Presentation: An 85-year-old female with a history of non-Hodgkin’s B-cell lymphoma on Ibrutinib is brought into the emergency department (ED) by ambulance for generalized, progressive weakness and recurrent falls. She was recently diagnosed with herpes zoster 2 weeks prior, on her right upper extremity and denies being started on any medication. She complained of [...]

Case Presentation: A 31-year-old man with rheumatoid arthritis (on adalimumab, methotrexate, and prednisone) presented with a 3-day history of fatigue, severe asymmetrical weakness of the lower extremities (left > right), and painful vesicular rash spanning multiple dermatomes in the left > right lower extremities (Image 1). There was no evidence of myelopathy or meningismus on [...]

Case Presentation: An 84-year-old male with a past medical history of hypertension, type two diabetes mellitus, and left herpes zoster ophthalmicus treated three months prior presented to the hospital with two days of worsening confusion and altered mentation. Initial Computed Tomography (CT) of the head revealed no evidence of acute infarction. Initial serologic workup revealed [...]