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1 Fever of Unknown Origin and Retinal PeriphlebitisGary Holland, MD; Robert Yee, MD; Thomas Pettit, MD; Robert Foos, MDA 34-year old, homosexual with recurrent fevers, night sweats and fatigue.
2 Pseudo-Pseudotumor Cerebri (slideshow)Valerie Biousse; Jose Velázquez Vega; Amit Saindane; Nancy NewmanA 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.
3 Homonymous Hemianopia, Dementia and Elevated Sedimentation RateJ. R. Coppeto, MDA 74-year old male with a complaint of distorted vision. Previous history significant for an episode of Bell palsy, recurring abdominal pain, intermittent microscopic hematuria and fever of unknown origin.
4 At the CrossroadsKonstantinos Douglas; Michael Yoon; Frederick Jakobiec; Joseph Rizzo III; Bart ChwaliszA 54-year-old female former smoker presented with vertical diplopia, left facial pain and left forehead weakness. She previously had thyroidectomy for a noncancerous nodule and abdominal hysterectomy for fibroids. She reported a two-year history of worsening facial pain and numbness that started as ...
5 Two Cases Which Presented a Diagnostic ProblemR. Selby, MDCase 1: A 37-year old male with a 2-month history of diplopia, paresthesias and numbness of the left side of the face. Case 2: A 35-year old male with a distant history of transient blindness OS and right facial palsy.
6 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.
7 Not-So-Benign Paroxysmal Tonic Upgaze of ChildhoodWilliam A. Fletcher, MD; Arthur W. Clark, MD; Venita Jay, MDA 4-month old male with episodic paroxysmal tonic upgaze first noted at four weeks.
8 At the CrossroadsKonstantinos Douglas; Michael Yoon; Frederick Jakobiec; Joseph Rizzo III; Bart ChwaliszA 54-year-old female former smoker presented with vertical diplopia, left facial pain and left forehead weakness. She previously had thyroidectomy for a noncancerous nodule and abdominal hysterectomy for fibroids. She reported a two-year history of worsening facial pain and numbness that started as ...
9 Japanese NodlesValerie I. Elmalem; Sunita Park; Beau B. Bruce; Matthew Thurtell; Valérie Biousse; Nancy J. NewmanAn 11-year old female with diplopia, fever and abdominal pain. Previous history significant for fever, vaginal ulcers and discharge.
10 Horizontal Gaze Palsy Following Exertion CT and NMR CorrelationShirley H. Wray, MD, PhD, FRCP; L. Dana DeWitt; J. Phillip KistlerCase 1: A 55-year old female with a previous history of metastatic breast neoplasm with a sudden onset of 'a feeling of spinning' while playing tennis. Case 2: A 21-year old male with a sudden onset of vertigo, nausea and vomiting, ringing in the ears, headache, blurred vision, disturbed speech and...
11 Japanese Nodles (PowerPoint)Valerie I. Elmalem; Sunita Park; Beau B. Bruce; Matthew Thurtell; Valérie Biousse; Nancy J. NewmanAn 11-year old female with diplopia, fever and abdominal pain. Previous history significant for fever, vaginal ulcers and discharge.
12 A Case of Cotton Wool SpotsGolnaz Moazami; Hermann Schubert; Sampson Jacinda; Riley ClaireA 31 year old Caucasian male was admitted to a local ER after being found unresponsive on a couch at home, incontinent of urine, and having vomited with tongue bruising. He was arousable in the ER but febrile to 102 F with WBC= 19,000. He was loaded with dilantin, and emergency CT showed a left post...
13 A Case of Cotton Wool SpotsGolnaz Moazami; Hermann Schubert; Sampson Jacinda; Riley ClaireA 31 year old Caucasian male was admitted to a local ER after being found unresponsive on a couch at home, incontinent of urine, and having vomited with tongue bruising. He was arousable in the ER but febrile to 102 F with WBC= 19,000. He was loaded with dilantin, and emergency CT showed a left post...
14 Look in the Back (PDF)Tatiana Deveney; Aristides Capizzano; Jonathan TrobeA 59-year old man with Graves disease developed increasing proptosis and diplopia. Attributing these abnormalities to worsening of the Graves disease, an ophthalmologist treated him with high-dose oral and intravenous corticosteroids. When improvement did not occur, he underwent orbital x-irradiatio...
15 Strike a Chord (slideshow)Anastasia Neufeld; Kathleen Digre; Cheryl Palmer; H. Christian Davidson; Alison Crum; Bradley Katz; Judith WarnerA 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...
16 A 'Frosty' Altered Level of Consciousness (abstract)Alaa Bou Ghannam; Emily McCourt; Victoria Pelak; Jeffrey Bennett; Prem Subramanian; David Smits15-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...
17 Alcohol is Never the Answer, but it Does Make You Forget the Question (slideshow)Ali Saber Tehrani; Diana Londono; Thomas Rashid; Manuel Doria; Julia Biernot; Jorge KattahA 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 ...
18 A Sad Story - SlidesJason PeragalloA 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...
19 Undiscovered Islands - So Close, Yet So Far (Slides)Magdalena Wirth; Farahna Sabiq; Mehdi AgoumiA 30-year old female, visiting Canada from India, presented to ophthalmology with a 2-day history of right periorbital swelling, painful proptosis, fevers and chills. Initial examination suggested a clinical diagnosis of post-septal cellulitis with mild motility restriction, without optic nerve comp...
20 A Par 3 Macular Hole? (Slides)Archana Srinivasan; Jerald Gong; Mark MosterA 78-year old woman with 3-week history of sudden onset 'visual blur' OU and difficulty reading was evaluated by her ophthalmologist and suspected to have macular hole secondary to posterior vitreous detachment and vitreomacular traction (VMT). Her past medical history was significant for hypertensi...
21 Not All Men with Thick Skulls Have High Testosterone (Slides)Prem SubramanianA 54-year-old retired USAF fighter pilot was referred in Aug 2016 for evaluation of possible bilateral optic disc swelling noted on routine optometric examination. His past medical history included low testosterone discovered 2 years prior in the context of fatigue and exercise intolerance. MRI brai...
22 Three's a CrowdKanwal Matharu; Veeral ShahA 2 year-old male boy was referred for painless, progressive proptosis in the right eye over a one year. The patient had no history of trauma, personal or family history of malignancy, or orbital inflammation, and had an unremarkable past medical history. On exam, the patient had fix and follow visi...
23 Unexplained Becomes ExplainedJinu Han; Hye Young Kim; Sueng-Han Han7 years old male presented to the ophthalmology clinic for the evaluation of low vision. He was born with caesarean section after an uneventful pregnancy at 38 weeks, 4.05kg. The mother denied any perinatal hypoxia, ischemia or head injury during delivery. He first visited pediatric neurology clinic...
24 A 'Frosty' Altered Level of Consciousness (slideshow)Alaa Bou Ghannam; Emily McCourt; Victoria Pelak; Jeffrey Bennett; Prem Subramanian; David Smits15-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...
25 A Myel-In, a Long Way to Go (Slides)Aishwarya Pareek; Timothy Lotze; Gail Demmler; Brandon Tran; William Whitehead; Carrie Mohila; Veeral ShahA 9-year-old previously healthy female with two recent admissions for presumed diagnosis of ADEM re-presented with persistent headache and ataxic gait. During her initial admissions, she presented with fever, acute onset of ataxia, facial asymmetry and abnormal eye movements. Inpatient ocular exam s...
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