Neurologist @MayoClinic with interests in #HospitalNeurology, #MedEd, #QI | @AANmember @Neurohosp | @IUMedSchool and @MayoNeuroRes alum | Tweets are my own.
Aug 30, 2022 • 21 tweets • 4 min read
1/ A 40-year-old woman presents with acute onset vision and sensory changes.
Neurologic exam is notable for multifocal homonymous visual fields cuts, subtle left hemisensory neglect, and cognitive impairment beyond expected in such a young patient.
Her MRI Brain is below. 2/
Her fasting lipid panel, fasting glucose, intra and extracranial vessel imaging, and echocardiogram are largely unremarkable.
Dr. @ChiaChunChiang gave us a whirlwind tour of headache disorders, including strategies Dr. @daviddodick previously outlined to screen for sinister secondary headache syndromes...
A 40 year old woman presents with back pain and unsteady gait.
One week ago, she had a mild viral URI.
Over the coming days, she developed progressive lower extremity weakness and urinary retention.
2/ Neurologic exam:
▶️Flaccid paraparesis
▶️Numbness from the knees down
▶️Flexor plantar responses