Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2University of British Columbia, Vancouver, British Columbia, Canada
A 75-year-old man with a history of trauma with an incidental finding on CT of the cervical spine. The patient has a remote history of treated prostate cancer. No history of renal disease or other significant surgical history. Normal serum calcium levels and normal renal function.
A 45-year-old woman with a history of focal segmental glomerulosclerosis status post kidney transplant on immunosuppression presents with subacute weakness, paresthesias, and a shaking episode of her left arm.
A 53-year-old woman previously treated for peritoneal tuberculosis presents to the ED with signs of raised intracranial pressure.
A 23-year-old postpartum woman with fever for 2 weeks followed by acute-onset paraparesis of bilateral lower limbs for 2 days and altered sensorium for 1 day. Her serum sodium on admission is 160 mEq/L.
A 64-year-old woman presents with left hemiparesis, left face and arm clonic seizures, and worsening encephalopathy for 3 days. Neurologic examination demonstrates expressive aphasia, midline gaze with full extraocular movements, reduced muscle strength in the left arm and leg (grade 4 out of 5), and left-sided neglect.
A 56-year-old woman with a several-year history of progressive dizziness, hearing loss, diplopia, gait instability, emotional lability, and fatigue
A 43-year-old man with no significant past medical history presents to the ED with left upper and lower extremity weakness along with left-sided facial droop. The patient has stable vitals, and a physical exam is notable only for decreased motor strength in the left upper and lower extremities along with mild left-sided facial droop. There is no personal or family history of TIA or stroke.
A 30-year-old man with sudden-onset urinary retention followed by bilateral lower limb and right upper extremity weakness; loss of sensation in the right upper arm and upper part of chest
