Case Presentation: A 29-year-old man was brought to our emergency department with a new-onset witnessed seizure. He was recently prescribed oral omeprazole for heartburn. He had no known medical conditions but had a family history of MEN1 in his father and paternal uncle. Initial labs showed hypercalcemia, with elevated PTH. MRI brain showed a sub-centimeter [...]

Case Presentation: A 24-year-old black male with a history of generalized epilepsy first diagnosed one year ago presented to the Emergency Department (ED) after one episode of a witnessed generalized tonic-clonic seizure. Upon arrival at the ED, he was at his baseline mental state. However, just moments later, he had another refractory generalized tonic-clonic seizure [...]

Case Presentation: A 38 yr. old female presented with personality and behavior changes for the last 4 months which were described as episodes of impulsivity and outbursts of anger. Patient endorsed frequent episodes of headache and confusion caused by strong odors such as spices and garlic. She had progressive short-term memory deficit, often asking same [...]

Case Presentation: A 75-year-old male presented to the Emergency Room for progressive altered mental status, speech difficulty, and generalized weakness over several days. He also reported a couple days of polyuria and polydipsia. Past medical history included Non-Insulin Dependent Diabetes Mellitus and Hypertension. Initial vital signs were within normal limits. General physical exam was unremarkable, [...]

Case Presentation: A 63-year-old Hispanic man from Mexico, with a history of hypertension and obesity, presented in September to an outside hospital with high fevers. He worked as a truck driver primarily in Arizona. He had a witnessed seizure and developed persistent altered mental status. The patient rapidly decompensated into septic shock requiring vasopressors, and [...]

Case Presentation: A 63-year-old woman woman presented after multiple episodes of seizure. She had no prior history of seizures or alcoholism. The patient had a deceased donor renal transplant 6 months prior complicated by persistent right perinephric fluid collection treated with long term piperacillin-tazobactam therapy. Attempts to obtain microbiology were unsuccessful and patient was started [...]

Case Presentation: Autoimmune encephalitides comprise a rapidly evolving group of immune-mediated disorders characterized by inflammation of the brain parenchyma. Patients with this disorder manifest a wide spectrum of neurological and psychiatric presentations developing over days to months. One sub-type is anti-NMDAR-encephalitis, which is characterized by complex neuropsychiatric features and the presence of IgG antibodies against [...]

Case Presentation: Human Herpes Virus 6 (HHV-6) is a member of the herpesviridae family. HHV-6 is the causative agent in roseola infantum, a usually mild and self-limiting childhood exanthem. HHV-6 is also associated with a variety of syndromes in recipients of hematopoietic stem cell transplantation (HSCT), including hepatitis, encephalitis, and bone marrow suppression. However, HHV-6 [...]

Case Presentation: A 32-year-old female with anxiety and depression presented to the ED after seizure episode. Upon admission, the patient was hemodynamically stable with normal vital signs and laboratory analysis. Physical examination revealed an unresponsive, well-nourished female with her eyes closed, jaw clenched, and arms and legs rigidly extended, consistent with a dystonic episode. She [...]

Case Presentation: 73-year-old male had a witnessed fall at home with a minor head injury without loss of consciousness. Later, his wife noted him having new onset convulsive seizures and immediately notified EMS. Upon EMS arrival, he was alert but confused- his fingerstick glucose measured 11 mg/dL. He received oral glucose and was transferred to [...]