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 Mrs. Lau was a 50-year-old lady. She was a non-smoker and non-drinker. She had a past medical history of diabetes, hyperlipidemia, and gastrointestinal stromal tumor with resection performed. She presented with a 3-month history of gradual, simultaneous onset, asymmetrical, progressive bilateral blurring of vision. Her vision worsened until she could only perceive light. There … Read more