A 23-year-old man presents with weakness and tingling in the left upper limb for 18 months. On examination, there is atrophy of the thenar muscles of the left hand.
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
An 11-year-old girl from northern Australia presents with fevers, headache, and confusion, progressing to status epilepticus and coma.
A 19-month-old girl presents with emesis and multiple episodes of seizure-like activity. A work-up reveals acute kidney injury and thrombocytopenia.
A 5-year-old boy with anemia presents with severe headache, papilledema, and dizziness.
A 4-year-old boy with known autism spectrum disorder and developmental delay at baseline is admitted to the ICU with subacute progressive encephalopathy, ataxia, autonomic instability, and subacute intractable emesis.
A 13-year-old girl presents with developmental delay from birth, seizures since 6 months of age, and progressive gait disturbances. On examination she demonstrates spasticity in all 4 limbs (lower limbs > upper limbs), microcephaly, and low intelligence quotient.
A 26-year-old man presents at a Level 1 trauma center after being hit by a vehicle traveling at 30 mph (48 km/h). Initial Glasgow Coma Score (GCS) score was 14 and trauma CT survey showed only mild intra-abdominal injuries with lower extremity radiographs showing comminuted, distracted fractures of the right tibia and fibula. Following emergent internal fixation of the right lower leg injuries, the patient developed seizures and a decline in neurologic function (GCS of 3) prompting further neuroimaging.
A 35-year-old, type 2 diabetic woman presents with subacute onset swelling within right nasofacial groove, pain, and fever.