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Challenging Cases

Woman sitting with face in hands headache pain migraine

Chronic Migraine Out of Control Despite Multiple Drug Trials

July 26, 2019
  • Veronica Hackethal, MD

Your patient asks if a ketogenic diet can reduce her migraines. What will you tell her?

  • READ >>
Dark brain dripping oil

Young Man Who Has Become Uncomfortably Numb

July 23, 2019
  • Heidi Moawad, MD

A 27-year-old man has had right arm numbness for about 2 weeks. What’s in your differential?

  • READ >>
Devic disease

The Eyes Have It: Post-Pregnancy Blurred Vision With Leg Tingling

July 15, 2019
  • Heidi Moawad, MD

Six months after delivering a healthy baby girl, a physician experiences intermittent blurred vision and tingling in her left leg. Her diagnosis might surprise you.

  • READ >>
Hospital hallway emergency computer CT scans

Older Woman With Transient, Nonfocal Neurological Symptoms

June 27, 2019
  • Veronica Hackethal, MD

An episode of slurred speech, dizziness, and severe headache resolved after 10 minutes. What do you suspect?

  • READ >>
MRI brain scan axial FLAIR periaqueductal gray matter

Increasing Confusion in a Man With Chronic Alcohol Abuse

June 13, 2019
  • Andrew N. Wilner, MD

What’s in your differential diagnosis for this cachectic, disheveled patient who can no longer carry on a coherent conversation?

  • READ >>
beer mugs toast

Is Beer to Blame for This Man’s Dizziness and Blurred Vision?

June 11, 2019
  • Heidi Moawad, MD

Does the clinical picture point to a reaction to alcohol? A food allergy? What do you suspect is the likely culprit?

  • READ >>
elderly older man patient physician interview

Older Man With Intermittent Dizziness

June 6, 2019
  • Heidi Moawad, MD

Are his symptoms related to a fall that occurred 2 years earlier at work?

  • READ >>
baby infant pediatrician

15-Month-Old Baby With Delayed Communication and Social Milestones: Can Autism Be Reliably Diagnosed?

June 5, 2019
  • Veronica Hackethal, MD

Current recommendations suggest screening for autism starting at 18 months, but parents are increasingly anxious about their children and a possible diagnosis.

  • READ >>

A Patient With Medication-Resistant Atrial Fibrillation and Autonomic Dysfunction

May 21, 2019
  • Heidi Moawad, MD

A patient with worsening atrial fibrillation experiences improvement of his symptoms and heart rate with chiropractic manipulation. More in this podcast.

  • READ >>
needle

Effective Treatment of Essential Palatal Tremor and Coexistent Bipolar Disorder: A Case Report

May 6, 2019
  • Wael Ibrahim, MD

Clicking sounds in the patient’s ears were initially thought to be auditory hallucinations, but a thorough neurological examination revealed the true cause.

  • READ >>

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  • Headache and Migraine
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