Case of the Month Archive

Section Editor: Nicholas Stence, MD
Children's Hospital Colorado, Aurora, CO

December 2020

A 44‑year‑old man with a right painless, anterolateral cervical mass and progressive dysphagia, foreign body sensation in the throat, and mild regurgitation of food after meals

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November 2020

A 22-year-old woman with a 4-day history of left hemiparesis, headache, and vomiting

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October 2020

A 26-year-old man with posterior fossa tumor

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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

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August 2020

A 24-year-old woman presented in the emergency department with seizures.

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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.

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June 2020

A 17-month-old girl with a history of biliary atresia s/p multiorgan transplant presented with altered mental status.

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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.

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April 2020

A 50-year-old woman with an epileptic seizure and subtle dysphasia

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March 2020

An 80-year-old woman with chronic back pain and weakness of the legs

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