Case Presentation: A 46 year-old man with a past medical history of untreated hypertension presented with right ptosis and miosis. The patient was in his usual state of health until one month prior to presentation, when he developed right retrobulbar pain in the absence of additional upper airway or constitutional symptoms. The patient subsequently noticed [...]

Case Presentation: A middle-aged female with hypertension, hyperlipidemia, and squamous cell cancer of oropharynx, presented to us for with syncope.In the six months prior to presentation, patient had had two admissions to the hospital for transient bradycardia leading to unresponsiveness. She had required brief round of CPR the first time, and IV epinephrine and intubation [...]

Case Presentation: A 58-year-old male patient was brought by EMS after he was found to have an episode of syncope preceded by nausea, vomiting, dizziness while he was on his way to the supermarket. His past history was significant for hypertension, end stage kidney disease on chronic hemodialysis, and a recent diagnosis of stage IV [...]

Case Presentation: We report the case of a 43-year-old man who presents to our institution with recurrent episodes of dizziness, headaches and syncope. He had a history of uncontrolled hypertension that was diagnosed as a teenager. His admitting blood pressure was 174/103 mmHg and he had a heart rate of 108. On physical exam, he [...]

Background: Carotid artery Doppler ultrasound is a valuable diagnostic tool for patients with neurological symptoms suggestive of cerebrovascular disease, such as transient ischemic attack (TIA), stroke, or focal neurological deficits. However, its diagnostic utility is limited in patients presenting with non-specific symptoms such as syncope, dizziness, or headache. Unnecessary Doppler orders in these cases can [...]

Case Presentation: An 82-year-old male with a history of hypertension, COPD, ischemic stroke, mild carotid stenosis, and hyperlipidemia presented with expressive aphasia, dysarthria, confusion, and left-sided weakness following a coughing spell. CT angiography revealed an acute infarct in the right posterior cerebral artery (PCA) territory, along with an irregular ruptured plaque in the proximal right [...]

Case Presentation: A 68-year-old Caucasian male with a history of hypertension, prediabetes (A1c 5.9), and chronic gout presented to the hospital with acute transient left-sided weakness and numbness. MRI confirmed a small acute CVA and CTA revealed complete occlusion of right internal carotid artery (ICA) and 75% stenosis of left ICA. Workup included a negative [...]

Case Presentation: An 84-year-old female with history of pediatric paralytic polio, heart failure with preserved EF, atrial fibrillation, coronary artery disease presented with progressive shortness of breath (SOB). Four months prior, she had presented to the emergency department with similar SOB and generalized weakness. At that time EKG, CT angiography chest and transthoracic echocardiogram were [...]