A 7-year-old girl with a 3-month history of headaches, nausea, and vomiting
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 63-year-old man presented with acute itchy right eye, clear drainage, eye ache, and double vision. He had no history of ocular disease and no need for corrective lenses. His exam was remarkable for decreased superior gaze while the eye was adducted.
A 63-year-old woman was found unresponsive and in respiratory arrest following attempted suicide by self-asphyxiation. She was intubated and admitted directly to the ICU. MRI was performed 10 days into ICU admission due to abnormal cognition during weaning off sedation. Previous intracranial MRI, performed during an unrelated presentation, had been normal.
A 63-year-old woman with a history of diabetes mellitus reported sudden proptosis after a fall with a blow to the neck. She also reported a slight fever 3 days before, so she was treated as having orbital cellulitis without response to antibiotics or corticosteroids.
A 3-year-old boy with global psychomotor delay, bilateral hyperopia and left-eye strabismus, deafness with conformational ear changes, and bilateral convex feet
A 4-month-old infant with poor head control and hypertonia in extremities
A 31-year-old man with remote surgical history of ileo-ileal resection and anastomosis with altered sensorium and vomiting for 2 days
A 24-year-old man sustained traumatic injury of his back 3 months prior to presentation after falling off a ladder. This resulted in lingering back pain until 10 days prior to admission when he developed numbness in both feet, which eventually progressed to involve the abdomen and hands. Symptoms were worse on the right side and the numbness affected his walking. Clinical examination revealed a sensory level of T3.