Coma with Fever

Meningitis can be a life-threatening emergency that requires rapid identification and management. This case summarizes the workup for meningitis, including the appropriate timing of imaging studies and lumbar puncture.

Acute Cervical Radiculopathy

The pain of acute cervical radiculopathy can be intense, but there are ways to buy time before choosing invasive approaches.

Cauda Equina Syndrome

Key historical details and exam findings help point to cauda equina syndrome, which requires urgent attention. A review of the various causes and management are reviewed.

Migraine in a Pregnant Patient

The pregnant migraineur is often frustrated by the lack of safe therapies. Fortunately there are actually a number of good management options.

Intracranial Mass in a Person with HIV

An immunosuppressed state, such as in the presence of HIV infection, can complicate the workup of brain lesions, and so several paradigms for diagnosis and initial treatment are reviewed here.

Prolonged Migraine Aura

Most migraine auras are brief and in some ways provide an early warning for the migraine attack, but when the aura persists it should prompt attention.

Rapidly Progressive Dementia

Encephalopathy which presents subacutely with no other neurological findings, is daunting and includes rapid dementias and more indolent encephalitidies.

Hospital-Acquired Delirium

Delirium is becoming increasingly recognized as a symptom of serious illness as well as a risk factor for poor clinical outcomes in its own right. This case provides a framework for these often nebulous presentations.

Acute Migraine in a Child

Childhood migraine differs from the adult version in some ways, and management also must be targeted specifically to the needs of children.

Intractable Migraine

Migraine pain, particularly if long-lasting and accompanied by nausea can be disabling. Effective acute therapy includes intravenous neuroleptics and other medications.