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Title | Creator | History |
326 |
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Admissions Ad Nauseum: A Cryptic Case of Chiasmopathy | Sara A. Simpson, Alex Merkler, Ehud Lavi, Joseph Safedieh, Alan Segal, Marc Dinkin | A 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 ... |
327 |
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Admissions Ad Nauseum: A Cryptic Case of Chiasmopathy | Sara A. Simpson, Alex Merkler, Ehud Lavi, Joseph Safedieh, Alan Segal, Marc Dinkin | A 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 ... |
328 |
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OMG, I Can't C | Chantal J. Boisvert, Daniel Sand, Andrea D'Auria, Peter A. Quiros | Headaches 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,... |
329 |
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OMG, I Can't C | Chantal J. Boisvert, Daniel Sand, Andrea D'Auria, Peter A. Quiros | Headaches 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,... |
330 |
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A Case of Mistaken Identity | Lindsey B. De Lott, Patricia L. Robertson, Suresh K. Mukherji, Andrew P. Lieberman, Jonathan Daniel Trobe, MD, Michigan University | A 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 ... |
331 |
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A Case of Mistaken Identity | Lindsey B. De Lott, Patricia L. Robertson, Suresh K. Mukherji, Andrew P. Lieberman, Jonathan Daniel Trobe, MD, Michigan University | A 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 ... |
332 |
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Diabetes Does Not Explain It All | Philip M. Skidd, Joseph F. Rizzo III, MD, Florian S. Eichler, Dean M. Cestari | Systemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression. |
333 |
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Diabetes Does Not Explain It All | Philip M. Skidd, Joseph F. Rizzo III, MD, Florian S. Eichler, Dean M. Cestari | Systemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression. |
334 |
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No Rhabdo? | Mark R. Melson | A 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... |
335 |
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No Rhabdo? | Mark R. Melson | A 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... |
336 |
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Sacramentum Gladiatorium | Michael S. Vaphiades, MD, University of Alabama, Jennifer Doyle | Medical history includes hypertension and hyperlipidemia. |
337 |
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Sacramentum Gladiatorium | Michael S. Vaphiades, MD, University of Alabama, Jennifer Doyle | Medical history includes hypertension and hyperlipidemia. |
338 |
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Raise Your Grade Point Average | Hilary M. Grabe, Jeffrey L. Myers, Douglas J. Quint, Victor M. Elner, Jonathan Daniel Trobe MD, Michigan University | Two 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. |
339 |
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Raise Your Grade Point Average | Hilary M. Grabe, Jeffrey L. Myers, Douglas J. Quint, Victor M. Elner, Jonathan Daniel Trobe MD, Michigan University | Two 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. |
340 |
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Ain't No Sunshine When You Are Gone! | Veeral S. Shah, Linda L. Sternau, Michelle Felicella, Sanders Dubovy, Chris Alabiad, Norman J. Schatz, MD, Bascom Palmer Eye Institute; Byron L. Lam | An 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... |
341 |
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Ain't No Sunshine When You Are Gone! | Veeral S. Shah, Linda L. Sternau, Michelle Felicella, Sanders Dubovy, Chris Alabiad, Norman J. Schatz, MD, Bascom Palmer Eye Institute; Byron L. Lam | An 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... |
342 |
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Some Orbital Confusion | Steven A. Newman, MD, University of Virginia School of Medicine, David T. Bourne | In 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). |
343 |
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Some Orbital Confusion | Steven A. Newman, MD, University of Virginia School of Medicine, David T. Bourne | In 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). |
344 |
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Clues Hidden in the Skin | Janet C. Rucker, Catherine Cho, James Weisfeld-Adams, Scott E. Brodie | She 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 ... |
345 |
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Clues Hidden in the Skin | Janet C. Rucker, Catherine Cho, James Weisfeld-Adams, Scott E. Brodie | She 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 ... |
346 |
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Occam's Razor or Gamma Knife? | Kaushal M. Kulkarni, Linda L. Sternau, Byron L. Lam | Hypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier. |
347 |
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Occam's Razor or Gamma Knife? | Kaushal M. Kulkarni, Linda L. Sternau, Byron L. Lam | Hypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier. |
348 |
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It's All in Your Head | William L. Hills, Marjorie R. Grafe, Jane Weissman, Julie Falardeau, Michele K. Mass, William T. Shults | Migraine headache with visual aura since age 27 and upper airway resistance syndrome. |
349 |
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It's All in Your Head | William L. Hills, Marjorie R. Grafe, Jane Weissman, Julie Falardeau, Michele K. Mass, William T. Shults | Migraine headache with visual aura since age 27 and upper airway resistance syndrome. |
350 |
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Arborizing Orbit | Valerie Elmalem | A 36-year old female with left eyelid edema; Progressive loss of vision OS. Previous history significant for anemia, vitamin B-12 deficiency. Smoker. |