NOVEL - Frank B. Walsh Collection
 
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126 A Giant (Cell) Mistake - AbstractBehzad Mansouri, Paul Wawryko, Frank Bovell71-year-old, left-handed woman, who was referred with ptosis, loss of vision in the right eye and headache. In July 2015 she presented to ER with severe right temporal headache and watery right eye. Her exam and head CT was normal. Her ESR/CRP were elevated. She was allegedly diagnosed with GCA and ...
127 Testing the Hypophysis - AbstractAlberto Distefano, Julie Cho, Adeniyi Fisayo, Mahsa SohrabA 60 year-old female with history of hypertension, hyperlipidemia, and Lyme disease 12 years ago treated with doxycycline, developed extreme thirst and polyuria four years ago and was diagnosed with central diabetes insipidus. Magnetic resonance imaging (MRI) at that time showed enhancement of the p...
128 One Peak is Worth Twenty Finesses - AbstractSteven Newman, James MandellAn 8 year old was referred with a one week history of swelling around her left eye. She was not aware of any change in her vision or double vision. Visual acuity was 20/20 OD and 20/25 OS. Visual fields demonstrated minimal scattered desaturation with < ½ dB asymmetry between the two sides. Externa...
129 Coming to a Rapid Conclusion - AbstractLeanne Stunkel, Namita Sinha, Nathan Kung, Robi Maamari, Cole Ferguson, Sonika Dahiya, George Harocopos, Gregory Van StavernA 21-year-old man presented to a retina specialist for 2.5 weeks of painless central vision loss OD. His initial examination was notable for visual acuity 20/200 OD and 20/20 OS. Fundus examination was significant for several macular areas of retinal pigment epithelial (RPE) atrophy with associated ...
130 A Can of Worms - AbstractAli Hamedani, Madhura TamhankarA 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...
131 A Sad Story - AbstractJason Peragallo, MD, Emory University, Atlanta, GeorgiaA healthy 6-year-old boy had a two-week history of progressive headaches associated with nausea and vomiting. An ER diagnosed allergic rhinitis, treated with augmentin and steroids, however his symptoms worsened. At a second ER he was febrile to 103F. A classmate was recently diagnosed with Erlichio...
132 It's Always Been Like That - AbstractEric Gaier, William Butler, Joseph RizzoAn 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 ...
133 Gee...What's Causing that Pap? - AbstractSusan Mollan, Daniel White, Santhosh Nagaraju, Swarupsinh Chavda, Tom Hayton, Saiju JacobA 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,...
134 Cold Fever - AbstractShannon BeresA 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...
135 Triple Take - AbstractJohanna Beebe, Liang Cheng, Shira Simon, Michael Wall, Randy Kardon, Alkapalan Deema, Ian Han, Matthew ThurtellA 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...
136 Light at the End of the Tunnel - AbstractNoel Chan, Tak Lap Poon, Joyce Chow, Wai Lun Poon, Sherman Lo, Wing Hung Lau, Ka Hong Au, Carmen ChanA 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...
137 What Don't You See? - AbstractJames O'Brien, R. Michael SiatkowskiA 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...
138 Whipping Up a New Flavor - AbstractMeagan Seay, Tory Johnson, Benjamin Larman, Avindra Nath, Myoung-Hwa Lee, Janet Rucker, Jonathan Howard, Ilya Kister, Matija Snuderl, Laura Balcer, Steven GalettaA 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...
139 Uncertainty with a Twist of Lyme (slideshow)Amrita-Amanda Lakraj, Sang Hong, Jennifer Connelly, Elizabeth CochranThe 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...
140 Uncertainty with a Twist of Lyme (abstract)Amrita-Amanda Lakraj, Sang Hong, Jennifer Connelly, Elizabeth CochranThe 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...
141 A Prolonged Path To The Final Diagnosis (abstract)Cindy Lam, Edward MarglinPreviously 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.
142 A Prolonged Path To The Final Diagnosis (slideshow)Cindy Lam, Edward MarglinPreviously 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.
143 Lions and Tigers and Bears, Oh My! (abstract)Larissa Ghadiali, Danlin Mao, Gul Moonis, Adam Sonabend, Catherine Shu, Terri Kreisl, Esther Coronel, Jeffrey OdelA 79 year-old female s/p resection of a right CPA meningioma in 1998 noted sudden painless visual loss OD on 6-12-2016. Two days later examination revealed 20/150 vision OD, a right RAPD, and an otherwise normal ophthalmic exam.
144 Lions and Tigers and Bears, Oh My! (slideshow)Larissa Ghadiali, Danlin Mao, Gul Moonis, Adam Sonabend, Catherine Shu, Terri Kreisl, Esther Coronel, Jeffrey OdelA 79 year-old female s/p resection of a right CPA meningioma in 1998 noted sudden painless visual loss OD on 6-12-2016. Two days later examination revealed 20/150 vision OD, a right RAPD, and an otherwise normal ophthalmic exam.
145 Not Surprised Surprise (abstract)Yu Zhao, Joshua Pasol, Sander Dubovy, Byron LamA 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...
146 Not Surprised Surprise (slideshow)Yu Zhao, Joshua Pasol, Sander Dubovy, Byron LamA 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...
147 Strike a Chord (abstract)Anastasia Neufeld, Kathleen B. Digre, MD, Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye Center, University of Utah School of Medicine, Cheryl Palmer, H. Christian Davidson, Alison Crum, Bradley Katz, Judith E.A. Warner, MD, Moran Eye Center, University ...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...
148 A Wrong Turn at the Angle (abstract)Erica Archer, Jonathan Daniel Trobe MD, Michigan University, Hemant Parmar, Mohannad Ibrahim, Paul McKeever, Thomas GiordanoA 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.
149 The Sound of Hoofbeats (abstract)Lilangi Ediriwickrema, Neil Miller, Thomas BosleyA 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...
150 Strike a Chord (slideshow)Anastasia Neufeld, Kathleen B. Digre, MD, Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye Center, University of Utah School of Medicine, Cheryl Palmer, H. Christian Davidson, Alison Crum, Bradley Katz, Judith E.A. Warner, MD, Moran Eye Center, University ...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...
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