June 1, 2023
A 79-year-old woman presents with acute onset right-sided hemiplegia, gaze deviation, and receptive and expressive aphasia.
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
May 25, 2023
A 52-year-old man presents with headache and left-sided ptosis, miosis, and facial anaesthesia (Horner syndrome) after skiing and coughing.
May 18, 2023
A 7-year-old boy presents with history of intellectual disability and autism spectrum disorder.
May 11, 2023
A 42-year-old man with chronic kidney disease and cervical tubercular lymphadenopathy presents with ataxia and slurring of speech. The patient gives a history of intake of antitubercular therapy including isoniazid, rifampicin, ethambutol, and pyrazinamide for 2 months. On neurologic examination, the patient has an ataxic gait with dysarthria.
May 4, 2023
A 59-year-old man with no known medical illness presents 3.5 hours post acute onset of right-sided body weakness and numbness. MRI shows acute infarct of the left basal ganglia (> 3 contiguous slices), with evidence of DWI and FLAIR mismatch. The NIHSS score is 8 at presentation, but fluctuates to 11. Intravenous thrombolysis with 0.25 mg/kg tenecteplase is administered.
April 27, 2023
A 30-year-old man with no past medical history presents with bilateral optic disc swelling noted during an outpatient ophthalmology appointment.
April 20, 2023
A 63-year-old woman with rheumatoid arthritis comes to the ED with a 2-week history of gait disturbance. On physical examination, right hemiparesis is detected, with no other neurologic deficit.
April 13, 2023
A 14-year-old adolescent girl presents with headache, weight loss, polyuria, and polydipsia. On admission, laboratory workup demonstrates panhypopituitarism.
April 6, 2023
A young female patient presents with bilateral hearing loss and tinnitus for several weeks. The patient was seen at an urgent care facility with rash and sore throat at symptom onset.
March 30, 2023
A 48-year-old woman presents with fever for 10 days followed by acute-onset confusion, tetraparesis, and urinary retention. Lumbar puncture shows aseptic lymphocytic meningitis.
Pages
Current Issue
Case Collections
