Acute Neurologic Changes in an Otherwise Healthy Young Adult

•Monitoring initial management interventions for improvement is important with this type of neurologic presentation.

A healthy young man presents to a community clinic after returning home from spending 4 days at a beach resort. He reports symptoms of a headache, dizziness, fatigue, mild nausea and a hard time not falling when walking. Oddly he also has a vague dull ache in his right knee with intermittent spikes of shooting pain in both legs. Rapid onset of neurological symptoms in an otherwise healthy young man requires a thorough history and prompt intervention.