Thomas R. Swift

Neurology Case: Involuntary Contractions and Lip Twitching

This middle-aged woman suddenly developed painful, constant flexion of the hands and feet as shown in the image. On tapping the angle of the jaw, she

Neurology Case Diagnosis: Involuntary Contractions and Lip Twitching

The patient presented in the case “Involuntary Contractions and Lip Twitching” (JW Neurol Feb 19 2013) was, as most readers surmised, diagnosed with

Addressing Abuse of Neurology Patients

The American Academy of Neurology has published a position statement on abuse of neurology patients, calling on neurologists to routinely screen for

Case Discussion: “Vision” Loss Diagnosis

The correct diagnosis in the case of “vision” loss (JW Neurol Nov 22 2011) is migraine aura presenting as alexia without agraphia. Most respondents to

Orbital Pain and Double Vision: Diagnosis and Discussion

The patient presented in the case “Orbital Pain and Double Vision” (JW Neurol Jun 29 2010) had Tolosa-Hunt syndrome. Given the presenting signs and

Leg Numbness and Tingling: The Diagnosis

The answer to the case “Leg Numbness and Tingling” (JW Neurol May 4 2010) is bilateral compression/entrapment of the saphenous nerves at or near the

Leg Numbness and Tingling

A 33-year-old woman complains of recent onset of numbness and tingling on the inner aspects of her legs, as shown (image). She is otherwise healthy and

Tongue Deviation in a Man with Alcoholism: Diagnosis and Discussion

The patient presented in the case “Tongue Deviation in a Man with Alcoholism” (JW Neurol Jan 20 2009) had a right carotid dissection and a large

Tongue Deviation in a Man with Alcoholism

Following an altercation in a bar, a 54-year-old alcoholic man developed right-sided facial pain; right-sided headache; and left hemiparesis that

Is It Organic or Nonorganic Paresis? A New Test May Tell Best

Sonoo describes a novel test to differentiate organic from nonorganic leg weakness and demonstrates its superiority to the Hoover test. The