Case of the Week Archive
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2University of British Columbia, Vancouver, British Columbia, Canada
A 62-year-old man with a past medical history of migraines presents to the emergency department with progressively worsening headaches, diplopia, blurry vision, and photophobia for 5 months. Symptoms became more constant and severe 1 week prior, following a dental procedure.
A previously healthy toddler presents with fever, headaches, altered level of consciousness, and abnormal eye movements for 5 days.
An 8-year-old girl with a history of epilepsy presents initially with new-onset right arm numbness followed by head tilt and difficulty speaking. She undergoes MRI that shows a left sensory cortex lesion and surgical resection.
A 46-year-old woman, living in Angola, presents with a headache and left face numbness, followed by left facial palsy. There is no significant medical history, serum angiotensin-converting enzyme level is 154.2 U/L (Ref: 13.3–63.9 U/L), and fluorescein angiography is compatible with intermediate uveitis.
A 53-year-old man with a history of diabetes presents with swallowing and gait disorder and vertigo.
A 34-year-old man presents to the emergency department with a 2-day history of repetitive right-sided jerky movements and right-sided weakness, along with altered sensorium.
A 56-year-old man presents with cognitive complaints and aggressive behavior. He reports consuming heavy amounts of alcohol and tobacco.