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TitleCreatorHistory
326 Behind the CurtainMarc H. Levin; Pallavi Gopal; Steven L. GalettaThere was no significant past medical history, no smoking history, nor any systemic symptoms.
327 No Rhabdo?Mark R. MelsonA 5 year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly. She had a 5 week history of swelling around her right eye. Her pediatrician diagnosed a blocked tear duct and referred her to an ophthalmologist. She failed empiric treatment for orbital cellulitis an...
328 Occam's Razor or Gamma Knife?Kaushal M. Kulkarni; Linda Sternau; Byron L. LamHypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier.
329 Spots, Spots Everywhere, And Not A Spot To SeeSarkis M. Nazarian; Kelli Y. Shaon; Kenneth R. Habetz; Ayman Al-Salaimeh; John D. Schwankhaus; Joseph G. ChackoAdditional history revealed that the patient had suffered a tick bite about two weeks prior to the onset of his rash.
330 Is it Naughty or Nice?Daniel Gold; Madhura Tamhankar; Laura Balcer; Thomas Coyne; Clyde Markowitz; Steven GalettaSubjective fever and cold symptoms were noted 3 weeks prior, and she had experienced transient visual obscurations for 2 weeks.
331 Admissions Ad Nauseum: A Cryptic Case of ChiasmopathySara Ann Simpson; Alex Merkler; Ehud Lavi; Joseph Safedieh; Alan Segal; Marc DinkinA 38 year old healthy female presented with blurred vision. Her ophthalmologist found acuities of 20/200 OD and 20/50 OS, a central scotoma OD and a temporal hemianopia OS. Neurological examination was normal. MRI revealed patchy leptomeningeal enhancement. VEP, SSEP, BAEP were all unrevealing. ANA ...
332 A Case of Mistaken IdentityLindsey B. De Lott; Patricia L. Robertson; Suresh K. Mukherji; Andrew P. Lieberman; Jonathan D. TrobeA healthy 6-month old boy was sent to a pediatric neurologist because his parents had noted "irregular eye movements" for 1 month. The neurologist found horizontal nystagmus with a rare vertical component and ordered a brain MRI that demonstrated a suprasellar mass, prompting hospital admission. We ...
333 OMG, I Can't CChantal J. Boisvert; Daniel Sand; Andrea D'Auria; Peter A. QuirosHeadaches for the past 8 months that became more severe in the last few weeks. They were pressure like, came and went, started occipital and radiated to the front. He was able to get initial relief with ibuprofen, but for the past week it didn't help. His past medical history was significant for DM,...
334 Behind the CurtainMarc H. Levin; Pallavi Gopal; Steven L. GalettaThere was no significant past medical history, no smoking history, nor any systemic symptoms.
335 Ain't No Sunshine When You Are Gone!Veeral S. Shah; Linda Sternau; Michelle Felicella; Sanders Dubovy; Chris Alabiad; Norman J. Schatz; Byron L. LamAn 18 year-old Latin American female presented with progressive visual loss OD over 6 weeks. She initially had blurry vision and photophobia OD with a central scotoma OD on HVF testing. At that time, examination revealed a right swollen optic nerve with retinal hemorrhages. She was otherwise healthy...
336 Golden GrapesHeather E. Moss; Sean Zivin; Amy Lin; Vinay Aakalu; Senad Osmanovic; Omar Al Heeti; Stockton Mayer; Mahesh PatelA 71 year-old African American woman presented with a painful right retrobulbar optic neuropathy and weight loss. ESR was 74. She was treated with steroids. Temporal artery biopsy did not show arteritis. Nine days later, while on a steroid taper, she developed fevers, worsening right eye vision, pto...
337 Diabetes Does Not Explain It AllPhilip M. Skidd; Joseph F. Rizzo; Florian S. Eichler; Dean CestariSystemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression.
338 Deaf and Dizzy. Have We Been Susacked?Jorge C. Kattah; John H. Pula; Paayal K. Patel; Meena Gujrati; David E. Newman-TokerAcute vestibular syndrome (AVS) with unsteadiness, nausea, vomiting and decreased hearing. He is diabetic, has arterial hypertension, and was taking losartan, metformin, clopidogrel, and atorvastatin but was not on ototoxic or vasodilators medications. Examination at presentation showed left axial l...
339 Some Orbital ConfusionSteven A. Newman; David T. BourneIn September 2006 he had been referred for a second opinion regarding a 5 year history of intermittent swelling around the right orbit, worsening over 7 months associated with double vision, and proptosis (C,D).
340 Clues Hidden in the SkinJanet C. Rucker; Catherine Cho; James Weisfeld-Adams; Scott BrodieShe underwent neurological evaluation at age 32 (neuroimaging, serologies, lumbar puncture, muscle biopsy) with no resultant diagnosis (records unavailable). She required a wheelchair by age 36 and gradually developed slurred speech, cognitive decline, and worsened motor function. Simultaneous with ...
341 It's All in Your HeadWilliam L. Hills; Marjorie R. Grafe; Jane Weissman; Julie Falardeau; Michele K. Mass; William T. ShultsMigraine headache with visual aura since age 27 and upper airway resistance syndrome.
342 Raise Your Grade Point AverageHilary M. Grabe; Jeffrey L. Myers; Douglas J. Quint; Victor M. Elner; Jonathan D. TrobeTwo years earlier, he had had persistent hearing loss in the left ear attributed elsewhere to infection. One year later, he developed left facial weakness diagnosed as Bell's palsy, treated with corticosteroids without recovery. A few months later, he became hoarse and had difficulty swallowing.
343 No Rhabdo?Mark R. MelsonA 5 year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly. She had a 5 week history of swelling around her right eye. Her pediatrician diagnosed a blocked tear duct and referred her to an ophthalmologist. She failed empiric treatment for orbital cellulitis an...
344 Sacramentum GladiatoriumMichael Vaphiades; Jennifer DoyleMedical history includes hypertension and hyperlipidemia.
345 Double Vision? - Give Your Head a ShakeVivek Patel; Danah Albreiki3 month history of constant binocular oblique diplopia with mild worsening, progressive disequilibrium, and a wide based gait. No vertigo, loss of coordination, loss of vision or oscillpsia, hearing loss, or tinnitus. No history of cancer, hypothyroidism, GI malabsorption or anemia. Occupational his...
346 Occam's Razor or Gamma Knife?Kaushal M. Kulkarni; Linda Sternau; Byron L. LamHypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier.
347 A Wolf in Bear's ClothingPeter W. MacIntosh; Agatha Bogard; Pete Setabutr; Heather E. MossAn eleven-month-old African-American girl with medical history of reactive airway disease developed a bump and bags under both eyes which her mother attributed to minor trauma. There were no signs of systemic illness. A week later, her mother noticed more prominent right eye edema and a new bump beh...
348 A Difficult Bug to SwallowKenneth Lao; Blake A. Isernhagen; R. Michael SiatkowskiNon-insulin dependent diabetes mellitus, hypertension, and a right ventricular thrombus.
349 No Skin Off My BackJ. Alexander Fraser; Keith F. Kwan; John M. RogersA 41-year old male with a sudden onset loss of vision OS with headache over the brow. Previous history significant for a wide excision of a malignant melanoma from the left scapular region and left axillary lymph node dissection 5 years previously. Patient was a smoker.
350 TROUBLE READINGCaroline Tilikete; Virginie Desestret; Nathalie Streichenberger; Muriel Panouilleres; Denis Pelisson; Alain VighettoA 73-year old female with a 1-year history of progressive visual difficulties and impairing reading.
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