A young man in “double-trouble”: Hallucinations and cranial nerve palsies

A 17-year-old man was brought to the emergency department with several weeks of irritability, insomnia, and depression, followed by 1 week of nonsensical speech and visual, nonthreatening hallucinations. His medical history included depression and Sydenham chorea diagnosed when he was aged 12 years with positive ASO titer and anti-DNAse B antibodies. The National Multiple Sclerosis Society Case Conference Proceedings are both a live educational...