Nic Fok NKDA NSND previously a cleaner no family history of myasthenic syndrome PMH: – HT / HL history clarified: – initially presented in 6/2025 with gradual onset variable left eye ptosis and binocular diplopia 6/2025, diurnal variation present, exacerbated by prolonged reading on his phone or the newspaper, relieved by closing his eyes to rest; PE: … Read more
neurology consulted for bilateral cerebellar ataxia chronic smoker, nondrinker interior water and electrical works repairman no family history of gait disturbances / cognitive impairment PMH: rheumatoid arthritis on isoniazid, leflunomide, methotrexate, P20 insidious onset progressive forgetfulness since 6 months ago, eg forgot about the steps while repairing water pipes and electrical wires, bADL and iADL … Read more
History Mr. So, a 70-year-old chronic smoker, presented sequential limb weakness of hyperacute onset: Initial neurology impression for the left hand weakness: left AIN palsy; orthopedic impression: proximal left median nerve palsy. Neurology team was therefore reconsulted to reconcile the clinical presentation after the acute phase. Physical examination Alert and oriented, right UMN facial weakness, … Read more
History Mr. Hui was a 60-year-old gentleman. He was an ex-chronic smoker for 20 years and had a history of untreated hypertension. After reviewing his history, the presumed vertigo was re-characterized as an acute onset unsteady gait upon waking up 1 week prior to his admission. The gait symptom was persistent, associated with a … Read more
History Mrs. Chan was a 90-year old lady with a history of chronic progressive dementia without movement disorder since her initial presentation 15 years ago. She was admitted for a right hip fracture. Her relatives reported a 2-year history of insidious onset, intermittent shaky hands. She was not on any medications that could account for … Read more
History Mr. Yuen was a 70-year old gentleman. He was a social drinker. He had a past medical history of hypertension, diabetes, hyperlipidemia, gout, atrial fibrillation, and a resected olfactory neuroblastoma in remission. He presented with a 3-year history of insidious onset language and memory impairment. The cognitive symptoms had progressed to impact his activities … Read more
History Mr. Ho was a 50-year old gentleman. He was a heavy drinker. He had a history of alcohol intoxication that resulted in an emergency department admission. He presented with a 1-year history of insidious onset glove and stocking type numbness. The sensory symptoms were followed by a 6-month history of subacute onset gait instability, … Read more
History Ms. Mui was a 50-year-old lady. She was a chronic smoker and non-drinker. She presented with a 1-year history of episodic facial pain. The episodes were described as brief, electric shock-like sensations involving the cheeks and mandibular regions. They could recur in quick succession, but a refractory period must be present in between attacks. … Read more
History Ms. Hui was a 45-year-old lady. She was a non-smoker and social drinker. She had a past medical history of impaired fasting glucose, moderate obstructive sleep apnea. She did not have a family history of headache / cognitive impairment. She presented with a 5-year history of episodic visual obscurations, described as a white, bright … Read more
History Mr. Tsang was a 70-year-old gentleman. He is an ex-smoker and regular drinker. He has a past medical history of hypertension, hyperlipidemia, gout, and bilateral glaucoma. He did not have a family history of gait disturbance or muscle atrophy. He presented with a longstanding history of recurrent falls since 2-3 years ago, the frequency … Read more