Browsing: Neurology

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Infectious Disease , Neurology

West Nile Virus Poliomyelitis: An Unnerving Re-emerging Disease on the Rise

8/10/2022 Patrick H. Mullett, MD , Ryan Brzycki, DO
It is important to consider West Nile Virus as a major cause of neuroinvasive disease and acute flaccid paralysis. If a febrile, altered patient comes into the ED with focal neurological deficits, it
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COVID-19 , Neurology

Acute Inflammatory Demyelinating Polyneuropathy After COVID-19

6/10/2022 Zariad Saran, DO , Elizabeth Clair, DO
Although post COVID-19 fatigue and weakness are common and often benign complaints, high suspicion for Guillain-Barré syndrome should be upheld when evaluating patients, as there have been numerous ca
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Infectious Disease , Neurology , Pediatric EM

Recognizing and Managing Epidural Abscess

6/10/2022 Nahal Massoudi, DO , Baturay Aydemir, MD
Rare, but possible, diagnosis of epidural abscess must be considered when a pediatric patient presents with back pain. When diagnosed, carefully evaluate the risks and benefits of medical versus surgi
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Neurology

Spinal Cord Ischemia in an Undifferentiated Patient: A Case Report

4/10/2022 Priyanka Ravindran, MD , Jordan Miller, DO , J'Chika Morah, MD , Nicholas Jouriles, MD, FACEP
Spinal cord infarction is infrequent and if missed can result in significant mortality, disability (including irreversible paralysis), and reduced quality of life. Here we discuss a case of spinal str
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Endocrinology , Neurology

Uncontrolled Hyperglycemia as a Cause of Choreiform Movements

4/10/2022 Rabia Iqbal, DO , Jordan Miller, DO , Nicholas LaFountain, MD
Although rare, chorea-hyperglycemia-basal ganglia syndrome is a presenting symptom of uncontrolled diabetes mellitus.
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Neurology

Ventriculoperitoneal Shunt in the ED

2/12/2022 Tamlyn Hall, MD
Emergency physicians should be familiar with basics of ventriculoperitoneal shunt placement in patients with hydrocephalus and aware of potential complications that can arise in this population.
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Neurology

A Compelling Finding of Temporal Lobe Epilepsy

10/7/2021 Kiran Akbani , Kevin Hargrave, MD , Aaron Tiffee, MD, FACEP
The complexity and variety of signs and symptoms associated with temporal lobe epilepsy make this condition notably difficult to diagnose.
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Trauma , Traumatic Brain Injury , Neurology , Cardiology

An Unusual Cause of Tachycardia: Focal Nonconvulsive Status Epilepticus Following Acute Head Trauma

8/10/2021 Bruce J. Grattan Jr., DO, MS, RD , John Leskovan, DO, FACS, FACOS
Nonconvulsive status epilepticus has traditionally been thought of as a rare condition. There is little data regarding its true incidence, but evidence suggests it is far more common than once believe
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Pain Management , Neurology

Tickle Your Brain to Numb the Pain: EM Use of Sphenopalatine Ganglion Block for Migraine Headaches

6/12/2021 Chiamara Anokwute , Luke Wohlford, MD, MPH
The most prevalent medical problems around the globe are in the sphere of headache disorders. Let's discuss the procedure, use, and relevance of Sphenopalatine Ganglion (SPG) blockade in the abortive
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Neurology , Pediatric EM

MRI Confirmed Bell's Palsy Presenting with Multiple Cranial Nerve Involvement

12/1/2020 Gabrielle Ransford, MD , Vipin Philip, MD , Joel M. Clingenpeel, MD, MPH, FACEP
Bell's palsy, also called idiopathic facial nerve palsy, is the paralysis of facial motor function without an identifiable cause. It typically presents with sudden onset unilateral facial paralysis an