Neurology , Critical Care

NICE to Know Series: Aneurysmal SAH Care in the ED and Beyond

3/19/2025 Carlton Watson, MD, MS , Cappi Lay, MD

Aneurysmal subarachnoid hemorrhage (aSAH) is a must-not-miss diagnosis in the emergency department (ED). The rupture of an intracranial aneurysm leads to bleeding within the subarachnoid space, where

Neurology , Ophthalmology

The Ice Pack Test: A Diagnosis of Myasthenia Gravis in the Emergency Department

3/1/2025 Sam Cray, DO , Austin Bennett, DO, FAWM

Myasthenia Gravis (MG) is an autoimmune neuromuscular disorder characterized by the formation of autoantibodies against postsynaptic acetylcholine receptors at the neuromuscular junction resulting in

Cardiology , Neurology

A Curious Case of Cardiogenic Syncope with a Neurologic Source

3/1/2025 Gemma Porras, MS , Daniel Doynow, DO, MPH

Syncope can have many causes that are not always evident at the initial presentation.

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Orthopedics , Neurology , Infectious Disease

Navigating the Diagnostic Challenge: Recognizing Spinal Epidural Abscesses in Emergency Medicine

12/10/2024 Katie Tucker , Boyd Burns, DO, MBA, MHA, FACEP

Back pain is one of the top 5 reasons for emergency department visits in the United States. Among these billions of visits, you will find an extremely difficult-to-diagnose, yet life-threatening, cond

Orthopedics , Neurology , Toxicology

Delayed Presentation of Gluteal Compartment Syndrome Complicated by Sciatic Neuropathy Following Prolonged Immobilization Due to Opioid Overdose: A Case Report

12/10/2024 Georgina Koutouzis, DO , Vanna Albert, MD

Compartment syndrome is an orthopedic emergency that can be difficult to identify but can lead to significant morbidity and mortality if unidentified or left untreated. A major risk factor for develop

Infectious Disease , Ophthalmology , Neurology

Neurosyphilis: More Than Meets the Eye

12/2/2024 Prateek Khurana, DO , Anna Poteraj, MD , Zhanna Roit, MD , Sophia Gorgens, MD , Mary Flanagan-Kundle, DPA, PA-C

With the rising prevalence of neurosyphilis over the years, emergency medicine physicians should be cognizant of this can't-miss diagnosis in patients with focal neurologic findings, new-onset dementi

Neurology

Bilateral Thalamic Infarct: A Diagnosis Not to Sleep On

12/2/2024 Benjamin Kartub, MD , Abby Cosgrove, MD , Khalid Alsherbini, MD, FNCS

Occlusion of the Artery of Percheron leading to isolated bilateral thalamic infarcts is a rare and difficult diagnosis in emergency medicine. Learn the symptoms that can help keep it top of mind.

Toxicology , Neurology

An Unusual Cause of Stuttering: A Case Report

10/31/2024 Grace Cheetany , Charles Worth, DO , Kristina Domanski, MD

Vague neurologic symptoms, including impaired speech, can be difficult to diagnose and – for female patients – dismissed as behavioral. But commonly prescribed medications such as SSRIs may be a cause

Pediatric EM , Neurology

When a Headache Is Not Just a Headache

10/31/2024 Moshe Bengio, DO , Glenn Goodwin, DO, EMT-P , Abhishek Roka, MD , Michelle Marin, MD

Acute, persistent headache in a pediatric patient with no recent trauma can have a broad differential and, in most cases, should raise red flags. This case demonstrates the evaluation and management o

Hematology , Neurology

Hyperviscosity Syndrome: A Differential Diagnosis for Altered Mental Status

10/22/2024 Hector D. Barreto-Vazquez, MD , Philip Alapat, MD

Altered mental status is a common presentation that requires a time-sensitive evaluation. But that evaluation can be addressed under a broad range of categories. This case demonstrates AMS evaluation

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