Acute Flaccid Myelitis

Since 2014 there has been a nationwide increase in cases of acute flaccid myelitis (AFM), mostly in children.  It is a rare condition, affecting one in one million people.  It results in weakness in one or more limbs.  It is likely caused by an infectious agent or toxin. We say likely because the cause remains…

Neurologic Manifestations of Systemic Lupus Erythematosus

Automimune disorders are quite prevalent and they comprise a varied group of diseases with wide ranging damage to multiple organ systems.  When the immune system fails to recognize components of the body as being “native” inflammation, usually of the connective tissue, results in symptoms of weakness, muscle pain, fatigue, joint pain, and fever. Our focus…

Pseudotumor Cerebri

This is a relatively common condition that too often seems to elude diagnosis, but can not be ignored once discovered.  Often the presenting complaint is headache.  Sometimes headache is not so prominent.  The neurologist is called when the eye doctor in the process of an otherwise “routine” evaluation discovers pressure on the optic nerve. Imaging…

Stroke

Sudden.  If there is a defining feature of stroke it may be the sudden change in status and function.  The sudden loss of strength in a limb. The sudden inability to speak, to swallow, to call out that something is terribly wrong.  Is there a more dreaded affliction than the conscious awareness of something wrong…

Concussion

When is a “bump on the head” a concussion?  Someday we may all know the answer to this question.  At the moment what we have is more questions:   How did it happen? Did the person pass out, or seem “dazed,” and importantly, for how long? Any nausea, or vomiting? How old is the patient?…