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: A 7 year-old with hypohidrotic ectodermal dysplasia (ED) and recurrent sinusitis was admitted with diplopia, headaches, and fevers. In the preceding 2 months, he had multiple episodes of fever, nasal impetigo, and positive group A strep (GAS) throat swabs without pharyngitis. He was treated twice with azithromycin due to allergies to amoxicillin, cephalosporins, [...]

Case Presentation: A 70-year-old man with a past medical history of HIV on antiretroviral therapy, chronic obstructive pulmonary disease, tobacco use disorder, and ischemic cardiomyopathy presented due to 2 weeks of headache and hemoptysis. On review of systems he noted chronic diplopia going on for the last few months. The initial examination did not note [...]

Case Presentation: A 75-year-old male with a history of left upper lobe neuroendocrine lung cancer in remission presented to the hospital with progressive diplopia and headaches for 4 weeks. Prior to admission, he had recently been diagnosed with squamous cell carcinoma (SCC) on the vertex scalp which appeared at the onset of diplopia. Histology showed [...]

Case Presentation: A 33-year-old man presented with acute progressively worsening diplopia for two days duration. He also developed dysarthria, difficulty swallowing, generalized muscle weakness, and shortness of breath which prompted him to seek medical attention. He was bradycardic, but otherwise afebrile and normotensive. On exam, he was diaphoretic while taking shallow breaths. Neurological exam was [...]