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
History Mr. Tsang was a 70-year-old gentleman. He is a chronic smoker and non-drinker. He was a retired dim sum chef. He was admitted for an episode of fall. He was noted to have an altered mental state upon admission. He was on regular over-the-counter carisoprodol, a muscle relaxant. His sister reported a history of … Read more
History Ms. Yau is a 40-year-old lady. She is an ex-smoker and ex-regular drinker. She has a history of impaired fasting glucose and hyperlipidemia. She has no family history of neuromuscular diseases. She presented with a 6-month history of variable, fatigable nasal speech, difficulty in swallowing, bilateral droopy eyelids, double vision and neck drop. Physical … Read more
History Mr. Tsang was a 20-year-old gentleman. He was a non-smoker and non-drinker. He had experienced a normal perinatal process and developmental milestones. His educational level was up to higher diploma. He had no known past medical conditions, including significant head trauma, central nervous system infections or febrile seizures. He did not have a family … Read more