Category Archives: Neurology

Ramsay Hunt Syndrome

Ramsay Hunt Syndrome, also known as herpes zoster oticus, is a VZV infection involving the ear and auditory canal with associated pain and ipsilateral facial paralysis.  The VZV virus lies dormant in the geniculate ganglion, and when it is reactivated, … Continue reading

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Acute Bacterial Meningitis

The classic triad of meningitis—fever, neck stiffness, and altered mental status is present in <1/2 of adult patients with bacterial meningitis. 95% of the patients have at least two of four symptoms: neck stiffness, fever, headache, and altered mental status (AMS). … Continue reading

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Spinal Epidural Abscess

Spinal epidural abscess (SEA) is missed half of the time on initial presentation. The incidence is 1 case per 10,000 hospital admissions and has been increasing. Common risk factors include diabetes, end-stage renal disease, HIV infection, malignancy, morbid obesity, long-term … Continue reading

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Baclofen Withdrawal

Baclofen is a derivative of γ-amino-butyric- acid (GABA) and can be given intrathecal or enterally. Although both routes can result in baclofen withdrawal this post will focus on intrathecal baclofen (ITB) withdrawal. ITB is administered by an implantable pump. Problems … Continue reading

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