Section Editor: Nicholas Stence, MD
Children's Hospital Colorado, Aurora, CO
A 27-year-old man with a history of medulloblastoma, diagnosed in 1989 at age 5 and treated with hyperfractionated radiotherapy: 36 Gy of craniospinal radiation and adjuvant chemotherapy.
Patient has remained in continuous remission for 22 years, and now presents with a one-week history of migraine and left visual field cut.
A 63-year-old man presenting with a 3-day history of vision loss
Neurologic exam: Left homonymous hemianopia, with no other deficits
Past medical history: Hypertension (BP=235/155 mmHg at admission) and depression
A 54-year-old patient with sudden amaurosis and progressive headaches.
No prior medical or neurologic history.
A 4-year-old boy, born of second-degree consanguineous marriage, presented with paucity of movements of left upper limb since aged 5 months. On examination there was spasticity, brisk deep tendon reflexes of left upper limb, dysmorphic facies, and mild intellectual disability.
A 55-year-old man is referred to the ER for unusual headaches.
Medical History: Liver transplantation (chronic HCV infection associated with hepatocellular carcinoma and CHILD C Cirrhosis)
A 71-year-old man presenting with 10-day history of headache, nausea, and vomiting. No significant past medical history or surgical history.
A 50-year-old woman with acute left-sided visual disturbance and altered facial sensation. Past medical history: hypertension, asthma, hypothyroidism, and polymyalgia rheumatica.
A 58-year-old woman with sudden onset headache, right-sided weakness, and altered sensorium. No significant prior medical or surgical history.
A 34-year-old man presented with three days onset of facial palsy and left upper limb weakness, numbness, loss of strength, and inability to hold objects. A year earlier he was evaluated for pyrexia of unknown origin.
