Neurology

  • A large, painless bulla on the right foot
    Jorge Camilo Mora, MD, MPH and Amalia Galindez, MD, FACP
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 10-12; DOI: https://doi.org/10.3949/ccjm.89a.21051

    A patient with a history of type 2 diabetes and diabetic neuropathy had a hemoglobin A1c of 10.3% at presentation.

  • Discontinuing antidepressants: Pearls and pitfalls
    Samantha J. Zwiebel, MD and Adele C. Viguera, MD
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 18-26; DOI: https://doi.org/10.3949/ccjm.89a.21020

    To date, no formal schedule for tapering antidepressants has been validated. The maxim “slower is better” applies.

  • A painful mass in the jaw
    Kanishka G. Patel, MD, Jasmine C. Huynh, MD, James Liu, MD, Paul Aronowitz, MD and May Cho, MD
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 27-35; DOI: https://doi.org/10.3949/ccjm.89a.20156

    The patient presented with a painful mass in the left side of her jaw, headache, lockjaw, painful swallowing, night sweats, and unintentional weight loss.

  • Evaluation and management of orthostatic hypotension: Limited data, limitless opportunity
    Aldo J. Peixoto, MD
    Cleveland Clinic Journal of Medicine January 2022, 89 (1) 36-45; DOI: https://doi.org/10.3949/ccjm.89gr.22001

    Orthostatic hypotension is common and can have serious consequences. The author offers a systematic approach to evaluation and management.

  • A perspective on discussing COVID-19 vaccines: Efficacy and adverse effects
    Brian F. Mandell, MD
    Cleveland Clinic Journal of Medicine December 2021, 88 (12) 644-645; DOI: https://doi.org/10.3949/ccjm.88b.12021

    Physicians should be vigilant and open-minded regarding possible adverse reactions to the vaccines, and should take time to discuss the demonstrated efficacy of vaccines with patients.

  • COVID-19 vaccine-induced cellulitis and myositis
    Sathishkumar Ramalingam, MD, Harkesh Arora, MD, Susan Lewis, MD, Kulothungan Gunasekaran, MD, Maheswari Muruganandam, MD, Sivakumar Nagaraju, MD and Priyesh Padmanabhan, MD
    Cleveland Clinic Journal of Medicine December 2021, 88 (12) 648-650; DOI: https://doi.org/10.3949/ccjm.88a.21038

    The day after receiving the second dose of the mRNA vaccine, redness and pain developed at the injection site, eventually involving the whole left arm and shoulder.

  • Metronidazole-induced encephalopathy: Symmetrical hyperintensity on imaging
    Hiroki Matsuura, MD, Takashi Katayama, MD and Kentaro Deguchi, MD, PhD
    Cleveland Clinic Journal of Medicine December 2021, 88 (12) 651-652; DOI: https://doi.org/10.3949/ccjm.88a.21007

    The diagnosis should be based on a combination of the patient’s clinical history, laboratory findings, and imaging results.

  • Revisiting the ‘great masquerader’
    Raihan Ashraf, MD, Rahul Mahajan, MD, Debajyoti Chatterjee, DM and Kollabathula Arpitha, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 536-537; DOI: https://doi.org/10.3949/ccjm.88a.20203

    An HIV patient presents with scaly brown lesions on the palms and soles, mildly painful oral erosions, and a buzzing sound in the right ear for the past 20 days.

  • Rapid cognitive decline and myoclonus in a 52-year-old woman
    William Gravley, MS, Caleb Murphy, MD, MBA, Chia-Dan Kang, MD and Badrunnisa Hanif, MD
    Cleveland Clinic Journal of Medicine October 2021, 88 (10) 572-583; DOI: https://doi.org/10.3949/ccjm.88a.20004

    Symptoms also included confusion, blank staring, blurred vision, incoordination of the extremities, decreased verbal communication, and holding her left hand in a fist.

  • Abdominal pseudohernia due to herpes zoster
    Junki Mizumoto, MD
    Cleveland Clinic Journal of Medicine September 2021, 88 (9) 480-481; DOI: https://doi.org/10.3949/ccjm.88a.20178

    A 66-year-old man presents with bulging and persistent burning pain in the right abdominal side for 4 days.

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