Café au Lait: Tip of the Iceberg

May 17, 2026 by in NEUROLOGY Comments Off on Café au Lait: Tip of the Iceberg
History and Physical An 11-year-old girl presented to the epilepsy clinic. She was the first child of non-consanguineous parents, born at term with a history of placental abruption at 22…
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Mysteries of the Hairless Plaque

May 17, 2026 by in NEUROLOGY Comments Off on Mysteries of the Hairless Plaque
History and Physical A 7-year-old boy was born at term following an uneventful pregnancy, with no family history. Birth examination showed a flat, alopecic, xanthomatous lesion in the left temporo-occipital…
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Port-Wine and the Brain

May 17, 2026 by in NEUROLOGY Comments Off on Port-Wine and the Brain
History and Physical An 8-year-old boy was the first child of non-consanguineous parents, born at term after a normal pregnancy. Family history was negative for epilepsy or other neurodevelopmental disorders….
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Jumping Into Orbit

May 17, 2026 by in NEUROLOGY Comments Off on Jumping Into Orbit
History and Physical A male infant presented immediately postpartum with redness and swelling of the eye, initially ascribed to a traumatic forceps delivery. He had a left periorbital hematoma and…
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Altered Mentation and Myelitis

May 17, 2026 by in NEUROLOGY Comments Off on Altered Mentation and Myelitis
History and Physical A 4-year-old girl presented with prolonged fever, weight loss, leukocytosis, and vomiting for one month. She was diagnosed with croup 2 weeks prior to presentation and received…
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Postinfectious Ataxia

May 17, 2026 by in NEUROLOGY Comments Off on Postinfectious Ataxia
History and Physical A previously well 5-year-old boy presented with progressively worsening headache over 2 days, unsteadiness when walking, poor coordination, and slurred speech. On examination, he was drowsy with…
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Progressive Hemiseizures

May 17, 2026 by in NEUROLOGY Comments Off on Progressive Hemiseizures
History and Physical A previously well 6-year-old boy presented with steadily increasing twitching of the face and eyes for 3 months. These were initially thought to represent tics, but it…
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Insult to the Deep Gray Nuclei

May 17, 2026 by in NEUROLOGY Comments Off on Insult to the Deep Gray Nuclei
History and Physical A previously well 4-year-old boy who had a fever and chesty cough for 2 weeks presented to the emergency department with increasing fatigue and inability to walk…
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Temporal Trouble

May 17, 2026 by in NEUROLOGY Comments Off on Temporal Trouble
History and Physical A 10-year-old boy presented with sudden-onset seizures, characterized by staring and right-hand twitching. After the seizures, he was sleepy but otherwise neurologically intact. He had experienced headaches…
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Inflammatory Emesis

May 17, 2026 by in NEUROLOGY Comments Off on Inflammatory Emesis
History and Physical A previously well 14-year-old African American female presented with anorexia, recurrent vomiting, and weight loss for 2 weeks. She had lost 9 kg in the preceding 2…
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