Case Presentation: A 40-year-old male with no significant history presented with acute dizziness, visual disturbances, and gait abnormality, preceded by a viral prodrome. He reported headache, neck stiffness, vertical diplopia, and neurological exam revealed bilateral CN 6 palsy, left CN 3 palsy, restricted extraocular movements, and bilateral dysmetria. Cardiovascular, respiratory, and abdominal exams were unremarkable. [...]

Case Presentation: A 55-year-old male from Brooklyn, NY with insulin-dependent diabetes and dental abscess (s/p I&D 9 days prior) presented to an outside hospital with 3 days of fevers, headaches, persistent mouth pain, and altered mental status. He was transferred to our hospital on day 3 for Oral and Maxillofacial Surgery (OMFS) consultation. The patient’s [...]

Case Presentation: A 62-year-old man with a history of diabetes presented to the emergency department with altered mental status (AMS) and increased urinary frequency. The patient was conscious but oriented only to self. Initial evaluation revealed hyponatremia (serum sodium: 125 mmol/L) with mild hyperglycemia (186 mg/dL). Further assessment of hyponatremia showed a serum osmolality of [...]

Case Presentation: A 41-year-old male with a history of intravenous drug use presented with status epilepticus. His seizures were preceded by episodic catatonia, hallucinations, and paranoia over the last two months. He was intubated and admitted to the ICU for evaluation of acute encephalopathy and seizures. Collateral history revealed absence of fevers or headache, and [...]