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1 Lights OutJohn J. Brinkley; John J. Chen; Patricia A. Kirby; Reid A. Longmuir; Matthew J. ThurtellA 78 year-old man presented with a one-month history of progressive painless binocular vision loss. He had sustained head trauma without loss of consciousness three days prior to the onset of vision loss. On the morning of his presentation to us, he had awoken with complete binocular vision loss and...
2 Lights OutJohn J. Brinkley; John J. Chen; Patricia A. Kirby; Reid A. Longmuir; Matthew J. ThurtellA 78 year-old man presented with a one-month history of progressive painless binocular vision loss. Hehad sustained head trauma without loss of consciousness three days prior to the onset of vision loss. Onthe morning of his presentation to us, he had awoken with complete binocular vision loss and h...
3 Arteriovenous Malformation of the Optic Nerve and Chiasm Causing Optic Atrophy and Enlargement of the Optic CanalWarren L. Felton III, MD; John W. Harbison, MD; John B. Selhorst, MDA 22-year old male with decreasing vision OD, right optic atrophy and right-sided retro-orbital pain.
4 Sudden Blindness in a Man with Adenocarcinoma of the Nasal CavityRobert F. Saul, MD; James Favino, MDA 63-year old male with acute loss of vision to LP OU. Previous history significant for injury to right eye with retinal detachment, epistaxis and biopsy Dx adenocarcinoma of the left ethmoid and frontal sinuses.
5 Cryptic Chiasmal CorruptionRoger E. Turbin, MD; Juliette Hukin; Cheryl Muzynski; Joao Siffert; Mark Rosenblum; Mark KupersmithA 14-year old female with a 3-day history of a worsening severe right frontal headache, which intensified and became bilateral. Two days after headache onset she developed diffuse blur OD, more severe centrally, which worsened gradually. She reported questionable fleeting minimal blur OS.
6 X' Marks the SpotLuis Andre Leal Ferman; Leslie Bruch; John Buatti; Jeremy GreenleeThis 24 year-old man presented with several months of progressive visual loss in both eyes. His past medical, surgical and ocular history was unremarkable. There was no family history of phacomatosis. He complained of occasional binocular diplopia, but denied headaches or any other neurological symp...
7 Chiasmal ConundrumRichard E. Appen, MDA 41-year old male with progressive, painless blurred vision OD of a 3-week duration and for ten days OS. Previous history significant for chorioretinitis.
8 A Chiasmal LesionCharles G. Maitland; Dale W. PcsolyarA 48-year old male with painless, progressive loss of vision OD over a 4-year period.
9 An Unusual Chiasmal LesionJohn A. McCrary III, MD; Richard L. Harper, MDA 27-year old female with bi-temporal headache, blurred vision OD and temporal visual defect OS.
10 Vascular HeadacheMatthew D. Kay, MDA 31-year old female with a sudden onset of a bi-occipital headache associated with blurred vision and bitemporal shimmering.
11 A Lesion of the Third VentricleR. M. Burde; Terence G. Klingele; Thomas L. Slamovits; Robert Ratcheson; Mokhtar H. GadoA 35-year old female with blurred vision followed by loss of vision OU.
12 Chiasmal ConfusionLanning B. Kline, MD; Jane Pearson, MD; Edward R. Wilson, MD; Charles H. Clark, MD; Stephen C. Crawford, MDA 28-year-old male with a 1-month history of blurred vision OU.
13 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...
14 A Chiasm Too Fat To FunctionVictoria Recio, MD; Barry Skarf, MD; Jorge Gutierrez, MDA 46-year old male with a 3-month history of blurred vision OU and optic atrophy.
15 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.
16 Fat Chiasm with 'Potbelly' Optic NervesMichael C. Brodsky, MD; William F. Hoyt, MDA 33-year old male with a 5-month history of difficulty with depth perception, focusing and headache.
17 Macrosomia, Dysmorphic Features and Chiasmal Tumor in a 6-Year Old BoyJoel M. Weinstein, MD; Miroslav Backonja, MD; Enid Gilbert, MD; Natalie Krassikoff, MDA 6-year old male with bilateral optic disc pallor. He was noted at 9 months to have an enlarged head size, delayed motor development and various dysmorphic features.
18 The Site and Cell of Origin of Optic GliomasAdam Borit, MD38 glial neoplasms of the optic pathways (16 nerve and 22 chiasm) seen at Massachusetts Eye and Ear Infirmary and Massachusetts General hospital from 1931 to 1972. In addition to the usually recorded signs of such tumors, there were 14 nerve and 15 chiasmatic tumor patients with pupillary disturbanc...
19 Progressive Vision Loss in an Ecuadorian WomanHoward D. Pomeranz, MD, PhD; Simmons Lessell, MDA 25-year old female with was well until age 20 when she developed generalized tonic-clonic seizures.
20 An Ironclad DiagnosisMarc J. Dinkin; George Parlitsis; Sarju Patel; Alex Merkler; Audrey Schuetz; Cristiano OliveiraA 43-year-old man with AIDS and a CD4 count of 4, non-compliant with HAART, presented with four days of headache, photophobia and vision loss in his left eye. There was a history of treated syphilis and CMV retinopathy. On neuro- ophthalmological examination, visual acuities were 20/40 OD (formerly ...
21 An Ironclad DiagnosisMarc J. Dinkin; George Parlitsis; Sarju Patel; Alex Merkler; Audrey Schuetz; Cristiano OliveiraA 43-year-old man with AIDS and a CD4 count of 4, non-compliant with HAART, presented with four days of headache, photophobia and vision loss in his left eye. There was a history of treated syphilis and CMV retinopathy. On neuro- ophthalmological examination, visual acuities were 20/40 OD (formerly ...
22 Never Too Young or Too OldBart Chwalisz; Laurel Tainsh; Mary Maher; Samantha Champion; Shuhei Nishiyima; Michael LevyAn 81-year-old woman with history of ocular myasthenia gravis presented with sequential bilateral vision loss. Six days before presentation, she discovered that vision of her left eye was reduced to light perception. She did not have any eye pain, pain with eye movement, headache, scalp tenderness, ...
23 Hairy DilemmaJacqueline A. Leavitt, MD; Carol Reynolds; James A. Garrity; Michael J. EbersoldA 17-year old female with progressive loss of vision OS. Previous history significant for meningitis, age 5.
24 An Unusual Chiasmal LesionRichard L. Sogg, MDA 28-year old female with bi-temporal headache and left periorbital tenderness.
25 An Unusual Chiasmal LesionRichard L. Sogg, MDA 28-year old female with bitemporal headache and periorbital tenderness OS.
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