Case of the Month Archive
Section Editor: Nicholas Stence, MD
Children's Hospital Colorado, Aurora, CO
September 2020
A 54-year-old farmer on extracorporeal membrane oxygenation for respiratory failure; background of ANCA-positive vasculitis on long-term therapy; new symptom of increasing confusion
July 2020
A 77-year-old man with sudden onset of mild sensitive aphasia and no other neurologic symptoms. His history included 3 previous, similar but shorter episodes and slowly progressive mental status deterioration in the last 2 months. Besides the aphasia, the neurologic examination was unremarkable. Blood tests were normal and CSF showed high protein without glucose consumption.
June 2020
A 17-month-old girl with a history of biliary atresia s/p multiorgan transplant presented with altered mental status.
May 2020
A previously healthy 58-year-old man with an 8-day history of right hand weakness and sensory loss and headache. Physical examination revealed right-sided central facial palsy, hemiparesis, hypoesthesia, and Babinski sign, as well as right homonymous hemianopia (no fever). He experienced rapid clinical worsening and died 5 months after first symptoms.
February 2020
A 38-year-old woman with self-limiting, right-sided hemisensory symptoms, felt to be atypical for a vascular etiology and investigated for demyelination
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