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Title | Creator | History |
226 |
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Nonchalant Midterm-taker Develops Altered Mental Status (slideshow) | Shira Simon; Bruno Policeni; Matthew Thurtell | A 19 year-old female presented in April 2016 with two weeks of worsening headaches, malaise, left-hand weakness, and confusion. Symptoms started during a trip to Cancun and one week after visiting a friend with mumps. Although she was becoming increasingly lethargic, she refused to seek medical atte... |
227 |
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M.I.A. (slideshow) | Julie DeBacker; Janet Rucker; Josef Gutman; Heather Lau; Laura Balcer; Steven Galetta | A 69-year-old man presented with a several year history of vertical double vision. At age 46, he presented with a two year history of imbalance, four year history of urinary urgency/frequency, and a six-month history of leg numbness and tingling. |
228 |
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Keep Your Eye On the Ball (slideshow) | Danielle Rudich; Eugenia Vining; Kenneth Allen; Joel Geffin; Mena Mansour; Robert Lesser | In March 2014, an 82-year-old male developed left sided facial pain and numbness over his left temple and periorbital region. He was treated for a presumed dental infection with no response. MRI brain in July 2014; showed only microvascular white matter changes. |
229 |
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The Sound of Hoofbeats (slideshow) | Lilangi Ediriwickrema; Neil Miller; Thomas Bosley | A 42-year-old woman with a recurrent cerebral malignant glioma in the left frontal lobe on clinical trial presented with blurry vision in her right eye 6 days after undergoing sinus surgery for paranasal inflammatory changes. She presented approximately 1 month after the sixth cycle of systemic ster... |
230 |
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Uncertainty with a Twist of Lyme (video) | Amrita-Amanda Lakraj; Sang Hong; Jennifer Connelly; Elizabeth Cochran | The patient is a 59-year-old woman who presented with vision loss. Her ophthalmologic history is significant for; myopic astigmatism and presbyopia. Her past medical history is notable for left breast cancer (T2N0 invasive lobular carcinoma, ER/PR positive, HER2/neu negative) s/p left mastectomy, ch... |
231 |
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Pseudo-Pseudotumor Cerebri (radiology) | Valerie Biousse; Jose Velázquez Vega; Amit Saindane; Nancy Newman | A 54-yo man presented with a 10-month history of daily headaches and bilateral disc edema. PMHx was remarkable for uncomplicated type-2 diabetes mellitus, and hypothyroidism. He developed headaches in 07/2014 after being stung by wasps. |
232 |
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Pseudo-Pseudotumor Cerebri (abstract) | Valerie Biousse; Jose Velázquez Vega; Amit Saindane; Nancy Newman | A 54-yo man presented with a 10-month history of daily headaches and bilateral disc edema. PMHx was remarkable for uncomplicated type-2 diabetes mellitus, and hypothyroidism. He developed headaches in 07/2014 after being stung by wasps. |
233 |
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Papilledema Gone Wrong (video) | Ahmara Ross; Payal Patel; Jessica Panzer; Grant Liu | A 12 year old obese female with a history of enterovirus meningitis presented with throbbing, constant, 10/10, occipital and positional headaches, associated with diplopia, photophobia, nausea, and vomiting for one week in; the setting of a recent 20 lb. weight gain. Her vision, pupils, fields, and ... |
234 |
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Occam Rings True (abstract) | Reid Longmuir; Michael Bradshaw; Taylor Davis; Woon Chow; Laura Craig-Owens; Kim Ely; Katherine McDonell | A 57-year-old, previously healthy man was referred for vision loss in both eyes. Six weeks before our evaluation, he presented to an outside ophthalmologist with 'greying' of the central vision in his right eye that progressed to blindness over a week. |
235 |
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A 'Frosty' Altered Level of Consciousness (abstract) | Alaa Bou Ghannam; Emily McCourt; Victoria Pelak; Jeffrey Bennett; Prem Subramanian; David Smits | 15-year-old previously healthy male, transferred because of 9-day history of headache, difficulty walking, diplopia, blurry vision and new onset altered level of consciousness. Neurologic examination was remarkable for delirium; with semi-coherent speech, VA of CF 2ft and 20/400, no APD, and bilater... |
236 |
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Uncertainty with a Twist of Lyme (abstract) | Amrita-Amanda Lakraj; Sang Hong; Jennifer Connelly; Elizabeth Cochran | The patient is a 59-year-old woman who presented with vision loss. Her ophthalmologic history is significant for; myopic astigmatism and presbyopia. Her past medical history is notable for left breast cancer (T2N0 invasive lobular carcinoma, ER/PR positive, HER2/neu negative) s/p left mastectomy, ch... |
237 |
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A Prolonged Path To The Final Diagnosis (abstract) | Cindy Lam; Edward Marglin | Previously healthy 25-year-old male presented with a 3-week history of frontal headache, right 3rd nerve palsy with ptosis, and areflexia of the left leg. MRI brain was normal. Two days later new symptoms developed: lower back pain, paresthesias, left leg weakness, right facial weakness. |
238 |
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A Prolonged Path To The Final Diagnosis (video) | Cindy Lam; Edward Marglin | Previously healthy 25-year-old male presented with a 3-week history of frontal headache, right 3rd nerve palsy with ptosis, and areflexia of the left leg. MRI brain was normal. Two days later new symptoms developed: lower back pain, paresthesias, left leg weakness, right facial weakness. |
239 |
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Pseudo-Pseudotumor Cerebri (video) | Valerie Biousse; Jose Velázquez Vega; Amit Saindane; Nancy Newman | A 54-yo man presented with a 10-month history of daily headaches and bilateral disc edema. PMHx was remarkable for uncomplicated type-2 diabetes mellitus, and hypothyroidism. He developed headaches in 07/2014 after being stung by wasps. |
240 |
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Papilledema Gone Wrong (abstract) | Ahmara Ross; Payal Patel; Jessica Panzer; Grant Liu | A 12 year old obese female with a history of enterovirus meningitis presented with throbbing, constant, 10/10, occipital and positional headaches, associated with diplopia, photophobia, nausea, and vomiting for one week in; the setting of a recent 20 lb. weight gain. Her vision, pupils, fields, and ... |
241 |
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Occam Rings True (video) | Reid Longmuir; Michael Bradshaw; Taylor Davis; Woon Chow; Laura Craig-Owens; Kim Ely; Katherine McDonell | A 57-year-old, previously healthy man was referred for vision loss in both eyes. Six weeks before our evaluation, he presented to an outside ophthalmologist with 'greying' of the central vision in his right eye that progressed to blindness over a week. |
242 |
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A 'Frosty' Altered Level of Consciousness (video) | Alaa Bou Ghannam; Emily McCourt; Victoria Pelak; Jeffrey Bennett; Prem Subramanian; David Smits | 15-year-old previously healthy male, transferred because of 9-day history of headache, difficulty walking, diplopia, blurry vision and new onset altered level of consciousness. Neurologic examination was remarkable for delirium; with semi-coherent speech, VA of CF 2ft and 20/400, no APD, and bilater... |
243 |
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Occam Rings True (slideshow) | Reid Longmuir; Michael Bradshaw; Taylor Davis; Woon Chow; Laura Craig-Owens; Kim Ely; Katherine McDonell | A 57-year-old, previously healthy man was referred for vision loss in both eyes. Six weeks before our evaluation, he presented to an outside ophthalmologist with 'greying' of the central vision in his right eye that progressed to blindness over a week. |
244 |
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Papilledema Gone Wrong (slideshow) | Ahmara Ross; Payal Patel; Jessica Panzer; Grant Liu | A 12 year old obese female with a history of enterovirus meningitis presented with throbbing, constant, 10/10, occipital and positional headaches, associated with diplopia, photophobia, nausea, and vomiting for one week in; the setting of a recent 20 lb. weight gain. Her vision, pupils, fields, and ... |
245 |
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Pseudo-Pseudotumor Cerebri (slideshow) | Valerie Biousse; Jose Velázquez Vega; Amit Saindane; Nancy Newman | A 54-yo man presented with a 10-month history of daily headaches and bilateral disc edema. PMHx was remarkable for uncomplicated type-2 diabetes mellitus, and hypothyroidism. He developed headaches in 07/2014 after being stung by wasps. |
246 |
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A 'Frosty' Altered Level of Consciousness (slideshow) | Alaa Bou Ghannam; Emily McCourt; Victoria Pelak; Jeffrey Bennett; Prem Subramanian; David Smits | 15-year-old previously healthy male, transferred because of 9-day history of headache, difficulty walking, diplopia, blurry vision and new onset altered level of consciousness. Neurologic examination was remarkable for delirium; with semi-coherent speech, VA of CF 2ft and 20/400, no APD, and bilater... |
247 |
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Uncertainty with a Twist of Lyme (slideshow) | Amrita-Amanda Lakraj; Sang Hong; Jennifer Connelly; Elizabeth Cochran | The patient is a 59-year-old woman who presented with vision loss. Her ophthalmologic history is significant for; myopic astigmatism and presbyopia. Her past medical history is notable for left breast cancer (T2N0 invasive lobular carcinoma, ER/PR positive, HER2/neu negative) s/p left mastectomy, ch... |
248 |
|
A Prolonged Path To The Final Diagnosis (slideshow) | Cindy Lam; Edward Marglin | Previously healthy 25-year-old male presented with a 3-week history of frontal headache, right 3rd nerve palsy with ptosis, and areflexia of the left leg. MRI brain was normal. Two days later new symptoms developed: lower back pain, paresthesias, left leg weakness, right facial weakness. |
249 |
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Looking for a Drop of Porcelain - Video | Shannon J. Beres; Grant T. Liu | A 4 year old healthy boy presented with severe headache. A right subdural hygroma was seen on brain MRI and CSF evaluation showed a leukocytosis with elevated protein. A week later he developed left leg weakness and a repeat brain MRI showed progressive leptomeningeal enhancement and new punctate in... |
250 |
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Heart of Darkness - Video | Shira Simon; Shiraaz I. Rahman; John C. Heymann; Bahram Rahmani; Nicholas J. Volpe | An 18 year-old woman presented to the emergency department in October 2014 with three days of blurred vision in her left eye. Past medical history included a hypoplastic right heart status-post orthotopic heart transplant at 2 months of age, chronic kidney disease with BK viremia since 12 years of a... |