Case Presentation: A 54-year-old female with a history of alcohol abuse and anxiety was admitted for 1 month of progressive altered mental status preceded by visual hallucinations. Over that time period, her symptoms rapidly progressed to agitation, dementia, and personality change. Physical symptoms included left elbow rigidity, startle myoclonus, and gait ataxia. Laboratory workup was [...]

Case Presentation: A fifty-three year old male presented with alcohol intoxication, generalized fatigue of two days, hyperglycemia and lack of appetite. He was ill-appearing, tachycardiac, severely dehydrated and distended. The patient had a long history of chronic ethanol abuse, liver disease, recurrent anemia, a right frontotemporal hemorrhage, and was found to have pancreatitis and encephalopathy [...]

Case Presentation: A 70 year-old woman with hyperthyroidism, hypertension and diabetes presented with subacute progressive altered mental status and frequent falls. History obtained from family revealed a previously independently functioning woman until 4 months prior, when she began to demonstrate symptoms of forgetfulness and micrographia. Symptoms progressed rapidly requiring an inpatient psychiatric admission, a month [...]

Case Presentation: A 61-year-old female with a complex psychiatric history presented with gait instability after accidental head trauma, which was initially diagnosed as post-concussive syndrome. Over the next month, the patient began to exhibit progressively erratic behavior with angry outbursts, visual hallucinations, tangential speech, poor sleep, and decreased appetite. Initial serum electrolyte and other blood [...]

Case Presentation: A 74-year-old fully independent man with diabetes mellitus and hypertension developed wavy, vertical double vision which was worse in the right eye and with reading. On outpatient evaluation, he was diagnosed with metamorphopsia and palinopsia. Four weeks later, he was admitted with headache, unsteady gait, dysphagia, and visual distortion. On exam, he was well-appearing, [...]

Case Presentation: 62-year-old Caucasian female with no significant medical history presented with complaint of worsening generalized weakness, difficulty with word finding, blurred vision, left arm and leg weakness ongoing for 3-4 weeks. 3 weeks ago she was discharged from an outside hospital after evaluation for similar complaints. Since discharge had worsening weakness, and decided to [...]