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1 Index of cases presented at the NANOS 1997 Walsh SessionThis document is an index of neuro-ophthalmic cases presented to physicians at the Frank B. Walsh session during the Annual North American Neuro-Ophthalmology Society Meeting. Clinical cases are presented by neuro-ophthalmologists with comments by neuroradiologists, neuropathologists, and other sele...
2 Cases presented at the NANOS 1997 Walsh SessionThis document includes a wide variety of neuro-ophthalmic cases as presented to physicians at the Frank B. Walsh session during the Annual North American Neuro-Ophthalmology Society Meeting. Clinical cases are presented by neuro-ophthalmologists with comments by neuroradiologists, neuropathologists,...
3 A New Manifestation of Desert Storm Syndrome?Kimberly A. Peele-Cockerham, MD; Thomas P. War, MD; Mark H. Depper, MDA 45-year old male with decreased vision OS. Visual decline preceded by photopsias. Previous history significant for chemical and nuclear exposures.
4 Unilateral Progressive Visual Loss with Optic Disc EdemaJennie U. Sung, MD; B. Lam, MD; V. Curtin, MD; R. Rosa, MD; D. Tse, MD; N. Schatz, MD; D. Jillapalli, MDA 59-year old male with a 3-week history of seeing shadows. Previous history significant for coronary artery disease. Family history remarkable for diabetes.
5 Postpartum Visual LossRichard D. Stutzman, MD; Kimberly A. Peele-Cockerham, MDA 23-year old post-partum white female with a several month history of intermittent throbbing frontal headaches and blurred vision OU. Whooshing sound AU.
6 A Hemorrhage and Hallucinations: AHAH!Jacquelin Winterkorn, PhD, MDA 71-year old female with an excruciating left headache from forehead to occiput associated with a shadow over her right visual field. CT scan in the ER showed hemorrhage in the left occipital cortex. Previous history significant for endometrial carcinoma.
7 The Plumber's NightmareHoward Savage, MD; Vivian Rismondo, MD; Neil R. Miller, MDA 69-year old male with blurred vision OD, headache and significant loss of weight. Previous history significant for right carotid endarterctomy.
8 A Black Eye and a Sore LipMichael S. Vaphiades, DOA 48-year old female with painful loss of vision OS associated with orbital pain and posterior neck pain. Previous history significant for joint pain and hypothyroidism
9 Cord ConfusionSteven L. Galetta; Laura J. Balcer; Andrew Lieberman; Nasreen Sved; Nicholas VolpeA female with loss of vision OS
10 Cognitive and Visual Decline in a Diabetic ManBarry J. McCasland, MD; Nancy J. Newman, MDA 57-year old male with episodic headaches and confusion over a 5-month period.
11 Slow Vertical Saccades in Motor Neuron DiseaseAdriana Kori, MD; L. Averbuch-Heller, MD; J. A. Buttner-Ennever, PhD; B. F. Remler, MD; R. J. Leigh, MDA 54-year old female with a history of motor neuron disease. Four year prior to presentation progressive dysarthria and dysphagia required gastrostomy.
12 Microbial Keratitis as the Presenting Manifestation of Neuro-Ophthalmologic DiseaseIngeborg Kirch, MD; Hilary A. Beaver, MD; Andrew G. Lee, MD; Alden W. Dudley, Jr.; Rosa A. Tang, MDA 34-year old male with a 5-year history floppy eyelid syndrome manifesting as pain, redness, irritation and discomfort OU. Previous history significant for non-insulin-dependent diabetes and mild hypertension.
13 Shooting CrapsJeffrey Bennett, MD; Steven Galetta, MD; William Bank, MD; Andrew Lieberman, MD; Grant Liu, MDA 55-year old male with episodic confusion and monocular amaurosis. Previous history significant for coronary artery disease and hypertension.
14 An Oculocerebral NightmareM. Tariq Bhatti, MD; John Guy, MDA 16-year old male with decreased vision OD and posterior occipital headache. Previous history significant for acute lymphocytic leukemia treated with chemotherapy and autologous bone marrow transplant.
15 An Asynchronous OrbitSteven A. Newman, MD; Federico Gonzalez-Fernandez, MDA 65-year old man with headache and balance associated with episodes of dizziness. Previous history significant for squamous cell carcinoma in situ of the conjunctiva.
16 A Patient with Painful OphthalmoplegiaKenneth D. Rappaport, MD; W. L. Felton III, MD; N. R. Ghatak, MD; Barbara A. Amaker, MDAn 80-year old male with left periorbital and temporal pain followed within one day by left ptosis and diplopia. Previous history significant for coronary artery disease, hypertension and abdominal aortic aneurysm.
17 Where It Doesn't BelongRichard M. Rubin, MD; Marilyn L. Slovak; Joyce L. Murata-Collins; Narsing A. Rao; Alfredo A. SadunA 64-year old male with a 2-year history of polycythemia rubra vera developed pain on the left side of his face. Over the next month the pain increased and the left side of his face became paralyzed. Diplopia and left-sided ptosis prompted neuro-ophthalmic referral.
18 An Unknown Chiasm Disturbance: Is This Lyme Disease?Susan Andracchi, MD; Jean Mark Cohen, MD; M. J. Kupersmith, MDA 51-year old female with a loss of vision OU over a 3-day period. Previous history significant for hyperthyroidism, dysthyroid orbitopathy and proptosis.
19 Here, There and EverywhereRaul A. Guevara, MD; Paul H. Phillips, MD; Nancy J. Newman, MDA 32-year old male with a 2-month history of progressive left upper lid fullness, ptosis and blurred vision OS.
20 Vision Loss after Aneurysm Repair: A Bad RapKathryn M. Brady, MD; Ramon L. Font, MD; Andrew G. Lee, MDA 68-year old female with acute, severe headache Dx subarachnoid hemorrhage and left paraophthalmic aneurysm Tx clipping and muslim wrap. Subjectively stable post-op until noted painless loss of vision OS.
21 Visual Loss in a Man with Metastatic MelanomaJohn W. Gittinger Jr., MD; Thomas W. Smith, MD; Allen D. Ward, MDA 59-year-old male with malignant melanoma, attendant loss of vision.
22 The Ayes Have ItRalph A. Sawyer, MDA 75-year old female with lack of visual improvement following cataract surgery OS. Previous history significant mastectomy ductal carcinoma-in-situ and migraine.
23 Blurred Vision in a 54-Year-Old Woman: Maladie de la MaisonLea Averbuch-Heller, MD; A. A. Kori; R. J. Leigh; G. W. Paulson; R. B. DaroffA 54-year old female with an inability to focus. 6 months prior to presentation she developed blurred vision. No abnormality noted save for frequent blinking.
24 Recurrent Cerebral Infarctions Associated with FeverValérie Biousse, MD; Marielle Baudrimont, MD; Pierre Amarenco, MD; Marie-Germaine Bousser, MDA 38-year old male binocular visual symptoms. Previous history significant for chronic alcohol abuse.
25 Serum Sickness and a Sixth Nerve PalsyLaura J. Balcer; Steven L. Galetta, MD;Kevin Salhany, MD; Donald C. Lanza, MDA 78-year old female with binocular horizontal diplopia, worse in right gaze and intermittent right frontal headache. Previous history significant for non-insulin-dependent diabetes mellitus, hypertension, hyperclosterolemia, arthritis, coronary artery disease and atrial fibrillation. Bilateral cata...
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