Background: Patent Foramen Ovale (PFO) is a common abnormality that affects between 25% and 34% of the general population. For most people, it is a benign finding; however, in some, the PFO can be wider, allowing a paradoxical embolus to transit from the venous to the arterial circulation, which is associated with cryptogenic stroke, migraine, [...]

Case Presentation: 57 year old male with history of hypertension, hyperlipidemia, poliomyelitis with right leg atrophy and chronic crutch use presented with right-sided hearing loss, vertigo, and arm numbness. MRI brain and MRA head and neck revealed acute infarction in the right inferior cerebellum in the Anterior and Posterior Inferior Cerebellar Artery territories; left cerebellar [...]

Case Presentation: An 8-week pregnant G5P1041 24-year-old African American female with no past medical history presented with acute onset left-sided weakness, slurred speech, and paresthesia. Her symptoms started a day after taking one dose of misoprostol as morning-after pill. She used misoprostol multiple times previously with neither neurological nor cardiovascular symptoms. On physical examination, her [...]

Case Presentation: 46-year-old male with past medical history of nicotine dependence was seen in the emergency department as code neuro with chief complaints of right arm/leg weakness and numbness which started 2 hours ago while he was playing video games. Physical exam showed right sided facial droop with power 0/5 in right upper extremity and [...]

Case Presentation: A 56-year-old man was found unresponsive at home during a wellness check. Paraphernalia and the condition of other patients at the scene suggested a drug overdose. In the emergency department, his vital signs were HR 136 bpm, BP 164/90 mmHg, RR 22, and SpO2 94% on room air. Due to severe agitation, physical [...]