The Walsh Society Annual Meeting Archives: Proceedings of the annual meeting of the Walsh Society, which is now part of the North American Neuro-Ophthalmology Association (NANOS) Annual Meeting. Contains records from the first meeting in 1969, through the present.
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| Title | Creator | History | ||
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| 1 |
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Uncertainty with a Twist of Lyme (video) | Amrita-Amanda Lakraj; Sang Hong; Jennifer Connelly; Elizabeth Cochran | The 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... |
| 2 |
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Papilledema Gone Wrong (video) | Ahmara Ross; Payal Patel; Jessica Panzer; Grant Liu | A 12 year old obese female with a history of enterovirus meningitis presented with throbbing, constant, 10/10, occipital and positional headaches, associated with diplopia, photophobia, nausea, and vomiting for one week in; the setting of a recent 20 lb. weight gain. Her vision, pupils, fields, and ... |
| 3 |
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A Prolonged Path To The Final Diagnosis (video) | Cindy Lam; Edward Marglin | Previously 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. |
| 4 |
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Pseudo-Pseudotumor Cerebri (video) | Valerie Biousse; Jose Velázquez Vega; Amit Saindane; Nancy Newman | A 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. |
| 5 |
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Occam Rings True (video) | Reid Longmuir; Michael Bradshaw; Taylor Davis; Woon Chow; Laura Craig-Owens; Kim Ely; Katherine McDonell | A 57-year-old, previously healthy man was referred for vision loss in both eyes. Six weeks before our evaluation, he presented to an outside ophthalmologist with 'greying' of the central vision in his right eye that progressed to blindness over a week. |
| 6 |
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A 'Frosty' Altered Level of Consciousness (video) | Alaa Bou Ghannam; Emily McCourt; Victoria Pelak; Jeffrey Bennett; Prem Subramanian; David Smits | 15-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... |
| 7 |
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Not Surprised Surprise (video) | Yu Zhao; Joshua Pasol; Sander Dubovy; Byron Lam | A 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... |
| 8 |
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Strike a Chord (video) | Anastasia Neufeld; Kathleen Digre; Cheryl Palmer; H. Christian Davidson; Alison Crum; Bradley Katz; Judith Warner | 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... |
| 9 |
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Island Fever (video) | Laura Hanson; Judith Warner; Alison Crum; Bradley Katz; Kathleen Digre | A 22 year-old male paralegal in the military presented with double and blurred vision. One month ago, he had traveled to Hawai'i for a wedding. Two weeks ago, he had been evaluated for an acute onset of fever, headache, emesis, light sensitivity and neck stiffness. |
| 10 |
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A Wrong Turn at the Angle (video) | Erica Archer; Jonathan Trobe; Hemant Parmar; Mohannad Ibrahim; Paul McKeever; Thomas Giordano | A 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. |
| 11 |
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A Diagnostic Potpourri (video) | Padmaja Sudhakar; Robert Lightfoot; Douglas Lukins; Dianne Wilson | A 63 yr. old incarcerated man with history of diabetes, hypertension, rheumatoid arthritis (RA) (on hydroxychloroquine, sulfasalazine and prednisone 7 mg), cutaneous lupus and Hepatitis C presented with sudden painless vision loss of the left eye without headache or symptoms of temporal arteritis. V... |
| 12 |
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Alcohol is Never the Answer, but it Does Make You Forget the Question (video) | Ali Saber Tehrani; Diana Londono; Thomas Rashid; Manuel Doria; Julia Biernot; Jorge Kattah | A 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 ... |
| 13 |
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Nonchalant Midterm-taker Develops Altered Mental Status (video) | Shira Simon; Bruno Policeni; Matthew Thurtell | A 19 year-old female presented in April 2016 with two weeks of worsening headaches, malaise, left-hand weakness, and confusion. Symptoms started during a trip to Cancun and one week after visiting a friend with mumps. Although she was becoming increasingly lethargic, she refused to seek medical atte... |
| 14 |
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Keep Your Eye On the Ball (video) | Danielle Rudich; Eugenia Vining; Kenneth Allen; Joel Geffin; Mena Mansour; Robert Lesser | In March 2014, an 82-year-old male developed left sided facial pain and numbness over his left temple and periorbital region. He was treated for a presumed dental infection with no response. MRI brain in July 2014; showed only microvascular white matter changes. |
| 15 |
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M.I.A. (video) | Julie DeBacker; Janet Rucker; Josef Gutman; Heather Lau; Laura Balcer; Steven Galetta | A 69-year-old man presented with a several year history of vertical double vision. At age 46, he presented with a two year history of imbalance, four year history of urinary urgency/frequency, and a six-month history of leg numbness and tingling. |
| 16 |
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Looking for a Drop of Porcelain - Video | Shannon J. Beres; Grant T. Liu | A 4 year old healthy boy presented with severe headache. A right subdural hygroma was seen on brain MRI and CSF evaluation showed a leukocytosis with elevated protein. A week later he developed left leg weakness and a repeat brain MRI showed progressive leptomeningeal enhancement and new punctate in... |
| 17 |
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Heart of Darkness - Video | Shira Simon; Shiraaz I. Rahman; John C. Heymann; Bahram Rahmani; Nicholas J. Volpe | An 18 year-old woman presented to the emergency department in October 2014 with three days of blurred vision in her left eye. Past medical history included a hypoplastic right heart status-post orthotopic heart transplant at 2 months of age, chronic kidney disease with BK viremia since 12 years of a... |
| 18 |
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Many Small Lesions, One Big Problem - Video | Harsh V. Gupta; Tuhin Virmani; Rohan Samant; Murat Gokden; Joseph G. Chacko; Sarkis M. Nazarian | A 73-year old hypertensive and hyperlipidemic man presented with 18 months of horizontal diplopia, worse at distance and gaze right, oscillopsia on left head turn, and unsteady gait. Six months prior to consult, he developed dysphagia, worse with liquids, and recurrent falls forced him to use a walk... |
| 19 |
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Avengers Assemble! - Video | Radha Ram; Carrie A. Mohila; Jeremy Y. Jones; Veeral S. Shah | A five-year-old otherwise healthy boy presented with a two-week history of behavioral changes, nausea, vomiting, headache, and subacute vision loss bilaterally. Six weeks prior to presentation to our hospital, he had presented to an outside hospital with esotropia and blurred vision in both eyes. At... |
| 20 |
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Leopard Can't Change Its Spots - Video | Terry S. Kang; Veeral S. Shah | An 8 year-old Caucasian female presented with bilateral conjunctivitis, photophobia, and blurred vision. Visual acuity was 20/50 OD and 20/60 OS. She had 2-3+ anterior chamber cell and flare OU, 1+ vitreous cells OU, 2+ optic disc edema OU, and macular edema OU. She was diagnosed with anterior uveit... |
| 21 |
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Growing Up Too Fast - Video | Courtney E. Francis; Thomas T. Chia; Gordana Juric-Sekhar; Manuel Ferreira | A 7 ½ year old boy presented in 2000 with precocious puberty (development of pubic hair, acne and rapid linear growth). Work-up included a brain MRI revealing a suprasellar mass, consistent with a visual pathway glioma. On ophthalmologic evaluation, he was noted to be 20/25 OU with a normal fundusc... |
| 22 |
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Diplopic Uveitis - Video | Kinda Najem; Edward Margolin; Pradeep Krishnan | 33 year-old man presented with 3 days of binocular diplopia. Visual acuity was 20/30 OU and pupillary exam was normal. Motility testing demonstrated right partial 3rd nerve palsy (no adduction and limited supraduction with complete ptosis). There were +1/2 anterior chamber cells and few vitreous cel... |
| 23 |
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A Case of Progressive Orbital Cellulitis in an Immunocompetent Patient - Video | Cinthi Pillai; Ivana Vodopivec; Daniel Lefebvre; Frederick Jakobiec; Joseph Rizzo | A 74 year-old woman presented 2/7/2015 with left orbital swelling/discomfort. Imaging revealed paranasal sinus and orbital soft tissue abnormalities suggestive of inflammatory/infectious disease. She received intravenous vancomycin/meropenam but worsened. Medical history was notable for paroxysmal a... |
| 24 |
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Masquerade - Video | Amanda D. Henderson; Jacques J. Morcos; Oliver G. Fischer; Joshua Pasol | A 68 year-old man from Nicaragua, with a past medical history of diabetes and hypertension, presented with a one-year history of right-sided headaches, diplopia, and a four-month history of sudden vision loss in his right eye. In Nicaragua, a head CT and an angiogram had revealed a sphenoid wing and... |
| 25 |
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Not a Meatball - Video | Steven Newman; James Mandell; Colleen Druzgal; John Jane Jr.; Spencer Payne; Sugoto Mukherjee; Beatriz Lopes | In April 2015, a 10 year old girl was referred for a four day history of ptosis and double vision. On examination, visual acuity was 20/20-OU; near vision was 3pt OU. Visual fields showed subtle arcuate visual field changes. External examination revealed palpebral fissures of 6.5 and 9 with an upper... |