Clinical Vignette A 70-year-old woman presented with a 2-year history of gait slowness and unsteadiness. She sustained several falls, usually backward. She began using a cane 1 year ago. She has noticed difficulty standing up or getting out of her…
Clinical Vignette A 9-year-old boy presented to the neurology clinic with 1 year of excessive eye blinking. He was accompanied by his parents. His past medical history was unremarkable; he was born at term and reached all developmental milestones appropriately.…
Clinical Vignette A 22-year-old previously healthy woman developed slurred speech, difficulty walking, and hand tremors over the course of 1 month after a severe psychologic trauma. She had mild neck pain and took cyclobenzaprine without benefit. She denied any history…
Clinical Vignette A 31-year-old woman had the spontaneous onset of a relatively mild horizontal (“no-no”) head tremor. She had no family history of neurologic disorders. This tremor was initially inconsequential but it gradually increased in severity. Turning her head to…