History Mr. Zaheer was a 40-year-old gentleman. He was a non-smoker and non-drinker. He was under police custody. He does not have any known past medical history. He reported no family history of neurological diseases. This was his second admission for headache, palpitation, and chest pain since an episode of assault with head injury 6-7 … Read more
History Mr. Ho was a 65-year-old gentleman who is a chronic smoker and regular drinker. He has a past medical history of hypertension, hyperlipidemia, and non-ST elevation myocardial infarction 2 years ago, with percutaneous coronary intervention performed. He presented with an acute onset of unsteady gait 10 days before the index admission. The gait … Read more
History Ms. Lam was a 40-year-old lady with a history of metastatic adenocarcinoma of the stomach. She has been on treatment with the immune checkpoint inhibitor Nivolumab for 6 months. She presented with a 1-month history of non-postural headache, left ear hearing impairment, and tinnitus. She was noted to have a low-grade fever upon admission. … Read more
History Mr. Lam was a 70-year-old man. He is an ex-social drinker and a non-smoker. He has a history of hyperlipidemia, mild coronary artery disease, and a transient ischemic attack in 2022 (transient left monocular visual loss). He presented with a 6-month history of gradual-onset binocular multidirectional diplopia with bilateral asymmetrical ptosis. These symptoms were … Read more
History Mrs. Cheung was a 70-year-old lady with a history of diabetes. She presented with a 3-week history of right-sided ptosis without headache. Physical examination Neurological examination was pertinent for a right partial ptosis with some variability but no definite fatiguability and equivocal ice pack test. The curtain sign was negative. Pupils were of equal … Read more
History Mr. Chan was a 70-year-old man with a history of diabetes under dietary control, hyperlipidemia, and nasopharyngeal carcinoma treated with radical chemotherapy and radiotherapy in 1999. He presented with a 2-week history of left angle of mouth drooping that his children first pointed out. He also reported a longstanding history of slowly progressive slurred … Read more
History Mr. Chow was a 45-year-old man with a history of chronic ischemic heart disease. He is a chronic smoker and non-drinker. He presented with a 1-year history of insidious onset, slowly progressive, unsteady gait. There were no symptoms of sensory and autonomic dysfunction. He does not have a positive family history of gait disturbances, … Read more
History Mr. Ng was a 70-year-old man with a history of ANCA-associated vasculitis of renal, pulmonary, and ENT manifestations 5 years ago. He remained in remission on azathioprine 50mg daily. He did not have any other vascular risk factors. He presented with a 3-week history of acute onset painless, altitudinal, monocular visual loss that occurred … Read more