Case Presentation: A six-year-old female presented with ataxia and vomiting. She was running and fell, striking her forehead on the ground. There was no loss of consciousness. She got up and continued to play. About an hour later, she had difficulty feeding herself, trouble walking and started vomiting. The patient had no history of fevers, [...]

Case Presentation: 59-year-old female with no significant past medical history presented to the hospital with worsening dizziness, vertigo, and diplopia in the right eye. Vital signs were unrevealing. On physical exam, she appeared nontoxic but uncomfortable with eyes closed resting on the bed. The neurologic exam revealed severe nystagmus in the right eye, intact CN [...]

Case Presentation: We report a case of subacute progressive cerebellar ataxia in a 56-year-old male with significant smoking history and COPD, presenting 3 weeks after the start of dizziness and gait ataxia. The patient had associated dysmetria and balance issues, which progressively worsened prompting admission to an outside hospital. There, a CT head was found [...]

Case Presentation: A 68 year-old woman with a past medical history of paroxysmal atrial fibrillation, recurrent Clostridium difficile infection and intra-abdominal abscess for which she was treated with ceftriaxone and metronidazole for six weeks, presented to the emergency department with slurred speech and ataxia. CT head showed no acute hemorrhage, infarction or other intracranial disease [...]

Case Presentation: A 59-year-old male presented to the emergency room with confusion, dysarthria, weakness, and diarrhea for 6 days. He reported taking colchicine for a gout exacerbation a week prior. Past medical history was significant for gout, non-Hodgkin’s lymphoma (in remission), and partial small bowel resection. Vital signs were within normal limits. Physical exam revealed [...]

Case Presentation: An 89 year-old female with hyperlipidemia presented with diplopia, vertigo, and dysarthria. Seven weeks prior to presentation, she developed horizontal diplopia. Four weeks prior, she noted vertigo with no hearing loss, tinnitus, or aural fullness. Two weeks prior, her speech became slurred. She presented to an outside hospital where MRI with contrast was [...]

Case Presentation: A 58-year-old man presented with acute onset of chest pain, vertigo, and ataxia, described as “falling to the right as objects moved to the left.” History included coronary artery disease requiring multiple stents and remote cerebrovascular accident with residual left upper extremity weakness. Exam was notable for vertical nystagmus. EKG showed left atrial [...]