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: A 60-year-old man with no history of diabetes presented with right sided facial swelling and was found to have HbA1c of 14%. He was treated for sinusitis with augmentin and discharged with close follow-up for new-onset diabetes mellitus type 2. A few days later, he developed new left eye blindness necessitating readmission. On [...]

Case Presentation: A 28 year-old woman with AIDS and a CD4 count of 178 cells/mm3, not on antiretroviral therapy, presented with odynophagia for 2 weeks as well as increased swelling in her neck and inguinal area. She denied any neurological symptoms. On physical examination, the patient had extensive cervical lymphadenopathy with no other significant findings. [...]

Case Presentation: An 85-year-old female presented to the ED with a chief concern of altered mental status from her previous baseline cognitive status a few hours prior. The patient’s medical history was significant for dementia, type 2 diabetes mellitus, and hypothyroidism. Initial exam revealed a confused but cooperative patient, A&Ox2 (self and time), discoloration of [...]

Case Presentation: A 32 year-old female without significant medical history presented with nausea and vomiting, 1 week after being a pedestrian struck by a vehicle. The original accident caused loss of consciousness, and post-concussive syndrome headaches, but no significant injuries, fractures or internal bleeding. Upon re-admission, she was orthostatic positive. She was lethargic, with a [...]

Case Presentation: Patient is a 61-year-old male found lying only partially clothed in a church courtyard brought in by EMS, hypothermic on arrival and tachycardic in the 130s. HRs improved with hydration and warming. Patient became verbally aggressive and threw himself on the floor multiple times. Initial troponin noted to be 4 peaking at 6.2. [...]

Case Presentation: A 62 year-old Caucasian male, with a 10-year history of ulcerative colitis (UC), presented to ER with acute onset of throbbing frontal headache for 1 day with associated photophobia and severe right eye pain. He reported having nausea and several episodes of vomiting. He denied any vision changes, speech difficulty, focal weakness, rash, [...]

Case Presentation: A previously healthy 50 year old female presented to the emergency department with abrupt onset of an intractable headache with altered mental status. On presentation, symptoms were pertinent for headache, neck pain, fever, nausea, and vomiting. Temperature was 103.1F, Heart rate 95 beats per minute (bpm), and blood pressure 102/71. Initial labs were [...]

Case Presentation: A 57-year-old African American woman with a past medical history of hypertension, type 2 diabetes mellitus, and pulmonary sarcoidosis underwent an MRI of the brain for evaluation of headaches. An incidental finding of a four-millimeter right-sided bilobed anterior communicating artery (AcoA) aneurysm was noted. The patient was then referred to Neurosurgery for elective [...]

Case Presentation: A 29-year-old male presented with a new onset focal seizure and dull persistent right sided headaches for 2 weeks. Physical exam was negative for any focal neurological deficit except for a diffuse erythematous rash involving trunk and his extremities, bilateral conjunctival injection and mild confusion. An urgent CT head revealed a small acute [...]