A 29-year-old woman with a history of vague abdominal pain, amenorrhea, and lumbar pain for 3 months is admitted to the hospital because she developed headache and a generalized tonic-clonic seizure.
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 10-year-old boy presents with headache and vomiting. He was initially treated 9 months prior for tubercular meningitis at a peripheral health facility, with no improvement.
An 11-year-old boy presents with unsteadiness in walking for the past 5 years, associated with gradually progressive hand tremulousness, slurring of speech, and cognitive decline.
A 44-year-old woman presents with intermittent left mass nasal bleeding for 2 days and nasal stuffiness for 1–2 years.
A 72-year-old man with initial MRI requested for 1-day history of dizziness and gait instability with leftward lateralization. A subsequent MRI was performed for a follow-up after 9 months.
A 23-year-old man presents with widespread, nondermatomal numbness/tingling, weakness, and ataxia.
A 41-year-old man presents with bilateral leg numbness/weakness, lower abdomen numbness, right chest wall numbness, and upper back/neck pain for the past 2 months.
A 30-year-old woman with past medical history of delayed motor development, regression of language, and multiple seizure types presents after a stable period with worsening seizure-like activities, dystonic features, and progressive decline in motor function, which has left her wheelchair-bound.
A 22-year-old man with trauma presents with incidental finding of cervical mass.
A 2-day-old neonate born via spontaneous vaginal delivery at term to a G1P1 mother presents for evaluation of repeated apneic episodes. Pregnancy complicated by Group B Streptococcus +ve status of mother; delivery complicated by right shoulder dystocia. Patient was transferred to the neonatal intensive care unit for work-up due to deteriorating respiratory status, requiring 21% FiO2 via CPAP. EEG was remarkable for questionable focal seizure activity in the temporal lobes.