Trauma , Neurology , Orthopedics

Prison Assault Leads to Neuroanatomy Lesson

12/31/2025 Joshua Berk, MD , Todd Burgbacher, DO

Incomplete spinal cord injuries are often discussed in medical school, as a means of instructing neural anatomy. These injury patterns are less commonly seen in clinical practice, but when they do pre

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Critical Care , Neurology

Pseudo-Subarachnoid Hemorrhage Following Cervical Medial Branch Block Using Gadolinium-Based Contrast: A Case Report and Review of the Literature

12/9/2025 Charles Adams, DO, PGY-2 , Cheri Lotfi, DO, MS , Zachary Weinerman, MD

This case report explores the evidence behind recognizing and treating conditions caused by gadolinium-based contrast agents — including pseudo-subarachnoid hemorrhage.

Neurology

Unmasking Atypical Stroke: Isolated Left Wrist Drop Due to Hemorrhagic Stroke—A Case Report

12/8/2025 Stephen Contreras, BSN, RN, MS4 , Grace Han, MS4 , Cynthia Rincon, DO, PGY-3 , Habiba Khan, MD, PGY-3 , James M. Brown, MD, FACEP

Stroke remains a major cause of morbidity and mortality worldwide, with hemorrhagic strokes accounting for approximately 10–20% of cases. Classic symptoms like hemiparesis or aphasia often lead to ear

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Neurology , Infectious Disease

Opsoclonus‑Myoclonus‑Ataxia Syndrome: A Primer for Emergency Medicine Residents

12/8/2025 Nimit Kasliwal, MD , Jonathan Brewer, MD, FACEP, FPD-AEMUS

While opsoclonus-myoclonus-ataxis (dancing eye-dancing feet syndrome) may seem rare and complex, its early identification in the ED can be life‑altering. When faced with an unusual movement disorder a

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Neurology , Toxicology

Case Report: Posterior Reversible Encephalopathy Syndrome in the Setting of Hypotension, Hypothermia, and Fentanyl Use

11/11/2025 Michael C. Larkins, MD

Posterior Reversible Encephalopathy Syndrome (PRES) is a neurologic disorder that traditionally presents with altered mental status, visual disturbances, headaches, and seizures in the setting of hype

Infectious Disease , Neurology

I’ve Got Herpes on the BRAIN! A Case of HSV Encephalitis

5/28/2025 Alexis Bromley, MD

Herpes simplex virus type 1 (HSV-1) encephalitis is the most common cause of sporadic fatal encephalitis worldwide. The clinical syndrome is often characterized by the rapid onset of fever, headache,

Sports Medicine , Neurology

The New Playbook on Concussions: Updated Guidelines for Prevention, Management, and Recovery

5/13/2025 Joshua Rayburn, MD

An estimated 1.6 to 3.8 million sports-related concussions occur annually in the United States, a number that has steadily risen over the past two decades. Reflecting on the latest developments, the 6

Toxicology , Addiction Medicine , Neurology , Social EM

Subacute Combined Degeneration Secondary to Nitrous Oxide Use: A Case Report

5/12/2025 Brianna McMonagle , Colleen Arnold, MD , Marlena Wosiski-Kuhn, MD, PhD , Anita Goel, MD

Nitrous oxide toxicity can be difficult to recognize, but when left untreated, it can lead to irreversible neurologic damage. Get some pointers in dealing with this vague presentation.

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

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