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.

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

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

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

Neurology , Endocrinology , Social EM

Nonketotic Hyperglycemic Hemichorea: A Bad Case of the Wiggles

12/1/2020 Ideen Zeinali, MD , Matthew Edwards, MS , Giuliano De Portu, MD, FACEP

One of our nation's greatest health challenges is the management of type 2 diabetes mellitus, which is expected to swell by more than 50% by 2035. Many of these diabetic patients will lack both primar

Dermatology , Neurology , Infectious Disease

Coincident VZV Encephalitis and Otomastoiditis

12/1/2020 Aaron Tiffee, MD, FACEP , Kinnari Modi , Christina Chanthanivong

We explore a case of varicella-zoster virus (VZV) reactivation without typical skin findings in a 66-year-old patient who presented with mastoiditis and encephalitis.

Neurology , Orthopedics , Urology

The Smallest Red Flag: A Case of Non-Urologic Urinary Retention

10/9/2020 Sarayna McGuire, MD , Derick Jones, MD, MBA , Patti Paris, MD, MBA, FACEP

It is important to consider that acute urinary retention can be a subtle clue of a neurologic process warranting emergent CT imaging to rule out vertebral fracture and MRI to rule out spinal cord comp

Neurology , Ultrasound , Guided Procedures

Ultrasound Guided Supracondylar Nerve Blocks for Reduction of Distal Radius Fractures

2/11/2020 Heather Roesly, MD , Spencer Tomberg, MD

One of the most common fractures seen in the ED - and one of the most painful to manipulate and reduce prior to splinting. This nerve block can help.

Ultrasound , Neurology , Pain Management , Orthopedics

Risk Awareness in the Interscalene Nerve Block

10/10/2019 Heather Roesly, MD , Spencer Tomberg, MD

Before employing this nerve block when addressing shoulder dislocations, ensure familiarity with the nerve structure in the area and assess whether it will be appropriate in the patient.

Toxicology , Psychiatry , Neurology

Phenibut Overdose: Coming to an ED Near You

10/10/2019 Megan Hoffer, DO , Michael Tranovich, DO , Richard Houck, DO

This OTC anxiolytic might cause you a little anxiety in cases of overdose. Here's an overview on how to help affected patients.

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