Two patients seen after lumbar myelography with metrizamide demonstrated transient confusion and asterixis. Metabolic etiologies were excluded. To our knowledge, these are the first reported cases of asterixis following myelography with metrizamide.
Mysophobia is a variant of obsessive-compulsive disorder (OCD) characterized by intense fear of germs, dirt or contamination accompanied by behaviors to decrease contamination and exposure. While brain tumors, traumatic brain injury (TBI) and strokes have been demonstrated in patients with OCD and implicate abnormal function in the left frontotemporal… (More)
We present a case of a 21-year-old African-American female with no significant medical history, who presented to the emergency department with a one-week history of blurry and double vision. Ophthalmology evaluation revealed bilateral retinal artery occlusion. Further workup with imaging of the brain was consistent with an ischemic stroke. Hereditary… (More)
Case. We report a rare case of hydralazine-induced anti-neutrophil cytoplasmic antibody-associated vasculitis. A 75-year-old African American woman with history of high blood pressure on hydralazine for 3 years presented with acute onset of shortness of breath and hemoptysis. Lab workup revealed a severe normocytic anemia and a serum creatinine of 5.09… (More)