The Walsh Society Annual Meeting Archives: Proceedings of the annual meeting of the Walsh Society, which is now part of the North American Neuro-Ophthalmology Association (NANOS) Annual Meeting. Contains records from the first meeting in 1969, through the present.
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| Title | Creator | History | ||
|---|---|---|---|---|
| 51 |
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A Can of Worms - Video | Ali Hamedani; Madhura Tamhankar | A 67 year-old man presented to the ophthalmology clinic with one day of binocular horizontal diplopia. He also complained of one week of bilateral periorbital pain which was worse on the right than the left. Four days prior, he had undergone partial right nephrectomy for grade II papillary renal cel... |
| 52 |
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It's Always Been Like That - Video | Eric Gaier; William Butler; Joseph Rizzo | An 18 year-old Caucasian boy presented with left upper eyelid ptosis, headaches, and iris heterochromia. The patient and his family reported the left iris being darker than the right since early childhood. Over the 5 years preceding his presentation, the patient's mother noted progressive ptosis of ... |
| 53 |
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Gee...What's Causing that Pap? - Video | Susan Mollan; Daniel White; Santhosh Nagaraju; Swarupsinh Chavda; Tom Hayton; Saiju Jacob | A 36 year old woman presented with history of Myasthenia Gravis (MG) since the age of 18. She was known to have dry eyes and hypothyroidism. Past surgical history included a thymectomy (age 23 years). The MG had been difficult to control with past medications including corticosteroids, azathioprine,... |
| 54 |
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Cold Fever - Video | Shannon Beres | A 34-year old rock-climbing-mountain man woke with bilateral painless blurry vision along with alternating conjunctival erythema and eyelid edema. A headache began without associated migrainous features. Prior history revealed an untreated mysterious ‘new form of TB' followed by the CDC at age 2 d... |
| 55 |
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Triple Take - Video | Johanna Beebe; Liang Cheng; Shira Simon; Michael Wall; Randy Kardon; Alkapalan Deema; Ian Han; Matthew Thurtell | A 42 year-old male noticed difficulty reading labels while stocking shelves at work. Over the next three weeks, he developed a dark 'cloud' in his central vision in the left eye, and then the right eye. He did not have associated pain. When evaluated by the retina service, his visual acuities were 2... |
| 56 |
 |
Light at the End of the Tunnel - Video | Noel Chan; Tak Lap Poon; Joyce Chow; Wai Lun Poon; Sherman Lo; Wing Hung Lau; Ka Hong Au; Carmen Chan | A 24-year-old Chinese man presented with 1-year history of progressive blurring of vision of the right eye. He had no significant past ocular nor medical history except moderate myopia and migraine. On ophthalmologic examination, his corrected visual acuity at distance was 20/100 OD and 20/30 OS. Is... |
| 57 |
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What Don't You See? - Video | James O'Brien; R. Michael Siatkowski | A four-year old male presented for evaluation of abnormal eye movements and strabismus which had been present since approximately 6 weeks of age. He was previously diagnosed with nystagmus, ocular torticollis, and esotropia by another provider. An MRI of the brain was performed at approximately 4 we... |
| 58 |
|
Whipping Up a New Flavor - Video | Meagan Seay; Tory Johnson; Benjamin Larman; Avindra Nath; Myoung-Hwa Lee; Janet Rucker; Jonathan Howard; Ilya Kister; Matija Snuderl; Laura Balcer; Steven Galetta | A 43-year old Indian man presented with two years of progressive gait imbalance, dysarthria, and cognitive decline. Neurological exam revealed supranuclear gaze palsy with impaired downgaze and loss of OKN quick phases, impaired horizontal pursuit, ideomotor apraxia, facial and arm dystonia, foot an... |
| 59 |
 |
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... |
| 60 |
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Alcohol is Never the Answer, but it Does Make You Forget the Question (video) | Ali Saber Tehrani; Diana Londono; Thomas Rashid; Manuel Doria; Julia Biernot; Jorge Kattah | A 63-year old male with a history of alcohol abuse presented with two weeks of confusion and imbalance. On exam, he had left beating nystagmus on left gaze, and right beating and torsional nystagmus on right gaze. Head impulse test was abnormal in all canals bilaterally with video head impulse test ... |
| 61 |
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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. |
| 62 |
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Not Surprised Surprise (video) | Yu Zhao; Joshua Pasol; Sander Dubovy; Byron Lam | A 68-year-old Hispanic woman presented to our emergency department with significant vision loss OS for 1 week. A month ago, she was evaluated locally for mild blurry vision OS, and corrected acuity was 20/30 OD, 20/40 OS. She was diagnosed with cataracts and epiretinal membrane OD. Medical history i... |
| 63 |
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Strike a Chord (video) | Anastasia Neufeld; Kathleen Digre; Cheryl Palmer; H. Christian Davidson; Alison Crum; Bradley Katz; Judith Warner | A 26 year old woman presented in August 2016 with migraine over the last 4 years, getting worse over the last 2 weeks. She reported occasional 'glittering' in her vision in both eyes. She had no constitutional symptoms. Her past medical history included migraine, idiopathic leukocytosis, and nephrol... |
| 64 |
 |
A Wrong Turn at the Angle (video) | Erica Archer; Jonathan Trobe; Hemant Parmar; Mohannad Ibrahim; Paul McKeever; Thomas Giordano | A 54-year-old woman developed numbness of the right jaw and right side of the tongue. She attributed her symptomatology to recent dental work, but when dental examination, including dental x-rays, failed to reveal an answer, she underwent brain MRI. |
| 65 |
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Nonchalant Midterm-taker Develops Altered Mental Status (video) | 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... |
| 66 |
|
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. |
| 67 |
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A Diagnostic Potpourri (video) | Padmaja Sudhakar; Robert Lightfoot; Douglas Lukins; Dianne Wilson | A 63 yr. old incarcerated man with history of diabetes, hypertension, rheumatoid arthritis (RA) (on hydroxychloroquine, sulfasalazine and prednisone 7 mg), cutaneous lupus and Hepatitis C presented with sudden painless vision loss of the left eye without headache or symptoms of temporal arteritis. V... |
| 68 |
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Keep Your Eye On the Ball (video) | 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. |
| 69 |
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Island Fever (video) | Laura Hanson; Judith Warner; Alison Crum; Bradley Katz; Kathleen Digre | A 22 year-old male paralegal in the military presented with double and blurred vision. One month ago, he had traveled to Hawai'i for a wedding. Two weeks ago, he had been evaluated for an acute onset of fever, headache, emesis, light sensitivity and neck stiffness. |
| 70 |
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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 ... |
| 71 |
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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. |
| 72 |
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M.I.A. (video) | 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. |
| 73 |
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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... |
| 74 |
 |
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... |
| 75 |
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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... |