Neurology

A 9-year-old boy presented to the emergency department with a seizure-like episode. There were no abnormalities noted on physical examination, with an intact neurologic examination. No focal defects were...

A woman in her 20s was brought to the emergency department (ED) by her parents with acute-onset psychosis. She reported auditory and visual hallucinations, paranoia, and false beliefs of being a twin and...

A 69-year-old previously healthy man had experienced the acute onset of weakness in his right hand and arm after driving home from playing a round of golf. The weakness progressed quickly from paresis and...

CT scans of an 81-year-old woman revealed vacuum phenomena in the intervertebral disks on the levels L1 through S1. Many internists are not familiar with the interpretation of this finding and its clinical...

A 47-year-old woman with a history of systemic lupus erythematosus presented for neurologic evaluation due to diplopia and ptosis that she had noted upon awakening 2 days earlier.

Copper deficiency myeloneuropathy has been well studied in animal species, but the relationship with neurologic disease in humans has been identified only recently. Neurologic findings of copper deficiency...

Isolated unilateral oculomotor nerve paresis is a rare presentation of midbrain cerebrovascular accident. This report describes a case of isolated unilateral oculomotor nerve paresis resulting from a tiny...

Providers should give careful thought to patients presenting with facial pain and/or headache accompanied by nasal symptoms.

A 15-year-old girl with a history of chronic migraine presented to the clinic with what she called the worst headache of her life.

If health care providers are aware that having an identified cause of epilepsy is associated with poor response to treatment, appropriate counseling and management strategies can be established.