Clinical Cases

Neurology

Neurology

Dysphagia and dysarthria in a 72-year-old woman

A New England Journal of Medicine CPC provides a wonderful illustration of why clinicians will retain their central role in diagnosis despite the advent of computer assistance in diagnosis.

Hematology, Metabolic, Neurology

Sensory loss and exercise intolerance in a 27 year old man

A 27 year old man had sensory loss and exercise intolerance, and was sent home from the Emergency Department several times told he was “just fine”.

Neurology

Intermittent visual loss since 4 years old

The patient presented a diagnostic puzzle at multiple top medical centers, and was finally diagnosed after a diagnostic odyssey of 18 years. See how the SimulConsult diagnostic decision support makes the case very solvable by channeling the wisdom of a top neurologist.

Genetics, Neurology

A 58 year-old woman with confusion and aphasia

In this case, we are presented with a previously well woman with the sub-acute development of neurologic abnormalities among other seemingly unrelated clinical findings for which a unifying diagnosis required multiple hospitalizations and expert consultation to discover.  It was not until after she had undergone multiple rounds of immunosuppressive therapies that a unifying genetic diagnosis was identified. 

Neurology

CADASIL

New England Journal of Medicine case of a 46-year-old man with migraine, aphasia, and hemiparesis and similarly affected family members.