The patient A 48-year-old male with a past medical history significant for malignant thymoma status post thymectomy and right lower lobe lobectomy, and myasthenia gravis, presented to Norton Women’s & Children’s Hospital emergency department with dyspnea on exertion (DOE). His CT was concerning for possible pulmonary embolism. His labs on this admission showed B-type natriuretic…
The patient An 18-year-old male with a history of heart transplantation for cardiomyopathy after a durable ventricular assist device presented with progressive cardiac allograft vasculopathy (CAV) and severe diastolic graft failure. The patient presented to the cardiac intensive care unit after a recovered cardiac arrest in extremis with impending multiorgan failure. He initially underwent placement…
Provider Team The patient The patient is a now 13-year-old girl with a history of anxiety and headaches dating back to approximately age 7, although she did not present to neurology until age 9. At that time, she was reporting approximately 15 out of 30 headache days per month and was meeting criteria for chronic…
The patient A 75-year-old male presented with a left neck mass, referred by his community otolaryngologist. The patient reported a history of sleep apnea, cough and recurrent upper respiratory infections. Imaging and fine needle aspiration of the neck mass confirmed p16 positive squamous cell carcinoma (SCC). Positron emission tomography (PET)/CT demonstrated a hypermetabolic left level…
The patient A 15-year-old female with congenital complete heart block needed a pacemaker battery change or pacemaker update. Congenital complete heart block leads to interruption of electrical signals between the top chambers of the heart and the bottom chambers of the heart. This often causes clinically significant slow heart rates and eventually requires implantation of…
The patient A 64-year-old woman tripped after “missing a step,” fracturing her left tibial plateau and resulting in deformity of the joint. This was managed conservatively, with a leg brace removing weight from the extremity. She developed persistent numbness and tingling in her left leg, as well as weakness. She was evaluated in the Norton…
The patient A 27-year-old female presented with five months of progressive quadriparesis and paresthesias affecting both upper and lower extremities. She initially presented to her primary care provider five months prior, while eight months pregnant, with weakness, numbness and tingling in her right upper extremity. The symptoms initially were thought to be a result of…
Incident details: Date: 4/26/2022 Patient: Male Age: 66 Arrival to emergency department:11 a.m. Tom L. Yao, M.D., endovascular neurosurgeon, Norton Neuroscience Institute Nadeem A. Talpur, M.D. stroke neurologist, Norton Neuroscience Institute Richard Carlisle, M.D., emergency medicine physician, Norton Brownsboro Hospital Presenting complaint Confusion, comprehension deficit, slurred and garbled speech Emergency medical services…
The patient A 4-year-old boy presented to the hospital with fever, fatigue and weakness. He also complained of blurry vision. He had recently had nose bleeds and oral bleeding. A complete blood count showed pancytopenia, as well as blasts on his peripheral smear. A bone marrow aspiration and biopsy were performed. He was diagnosed with…
The patient A 6-year-old girl was admitted to Norton Children’s Hospital on May 11, 2020, with uncontrolled seizures that progressed to status epilepticus. The challenge After maximal medical intervention, neurosurgery was consulted on June 12, 2020. Her electroencephalogram (EEG) showed a possible seizure focus in the left central and posterior regions, but her MRI showed…
The patient A 25-year-old woman presented with recurrent left second metacarpal giant cell tumor of bone. She previously was treated with extensive curettage, bone graft substitute placement and Kirschner wire fixation. Giant cell tumor of bone is a benign aggressive tumor with a high rate of local recurrence and development of lung metastases in approximately…
The patient A female age 5 years and 11 months presented for evaluation of spinal deformity and back pain in September 2020 from a pediatrician referral. X-rays showed a 53-degree scoliosis curve in the thoracic spine and 42 degrees in the lumbar spine. An MRI was ordered to look for any other spino-neural axis abnormalities….