Mark Hornyak, MDBoard Certified Neurosurgeon
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Educational Cases | Mark Hornyak, MD
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Cases
66 yo woman presents with leg greater than back pain Greater than 1 year duration Pain radiates down back of legs Numbness and tingling in calves No weakness, but reports falling Worsens with walking, better with rest Has had injections – limited benefit Has tried PT Ibuprofen helps Smokes ½ ppd; cutting down
View Case →67 year old man with history of cancer in his neck Routine CT of neck shows air inside his cranium (pneumocephalus).
View CaseMicrovascular decompression for trigeminal neuralgia
View CaseThis is a 70 year old male presents to ER after seizure. He has no history of seizure. The seizure occurred at dinner table. He had generalized shaking with loss of consciousness, witnessed by wife. The patient is without memory of the event. He complains of headache. He has no history of trauma. The patient has history of cardiac stents placed 3 years prior and takes aspirin, 81mg daily, and clopidogrel (Plavix) 75 mg daily.
View Case63 year-old woman presents with headache
View Case28 year old woman presents with complaint of right-sided hearing loss and sense of fullness within her right ear Exam with conductive hearing loss in right ear
View Case69 year old man with known history of renal cell carcinoma presents with cognitive decline and neck mass. Memory issues were attributed to chemotherapy. Also was having new headaches. Neck mass was due to an infection. Neurologic examination was relatively unremarkable.
View Case52 year old woman presenting to ER with new onset seizure. Patient & husband report being in good health until while seated in passenger seat of car, she had brief loss of consciousness with stiffening of right arm and body. Episode lasted about 2 minutes. EMS was called.
View Case64 year-old man presenting with headache and visual changes Headache for about 2 weeks getting stronger Seeing flashing lights and losing sight in the left side of his vision
View Case20 year-old man presenting with headache Pressure in back of head When lifting weights, coughing, laughing Over 1 year, and getting worse Neurologic exam is unremarkable
View CaseCavernous malformation. 24 year old woman presents to ER 2 years prior with first time seizure
View CaseInformation on this site should not be relied upon to make a medical diagnosis or determine treatment for a medical condition. Case examples are educational and de-identified. They do not represent expected outcomes for any individual patient. The information on this website is not intended to replace a one-on-one relationship with a qualified health care professional and is not intended as medical advice.
