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1 A "Frosty" Altered Level of Consciousness (video)Alaa Bou Ghannam, Emily McCourt, Victoria Pelak, Jeffrey Bennett, Prem S Subramanian, MD, PhD, ​Professor of Ophthalmology, Neurology, and Neurosurgery, University of Colorado, 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...
2 A Wrong Turn at the Angle (video)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.
3 Keep Your Eye On the Ball (video)Danielle Rudich, Eugenia Vining, Kenneth Allen, Joel Geffin, Mena Mansour, Robert L. Lesser, MD, The Eye Care Group, Clinical Professor of Ophthalmology and Visual Science and Neurology at Yale, Clinical Professor of Neurology and Surgery (Neurosurgery) at the University of Connecticut School of Med...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.
4 Island Fever (video)Laura Hanson, Judith E.A. Warner, MD, Moran Eye Center, University of Utah, Alison Crum, Bradley Katz, Kathleen B. Digre, MD, Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye Center, University of Utah School of MedicineA 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.
5 Egg in Your Face (Presentation Video)Sudhakar, PadmajaAn 8-year old female with a 2-day history of confusion, headache and vomiting.
6 When Life Gives You Lymphocytes, Make Limeade (Presentation Video)Ko, MelissaA 62-year old female; hypercholesterolemia.
7 To Biopsy Or Not To Biopsy? That Is the Question (Presentation Video)Yoon, MichaelA 16-year old female with an 8-week history of intense vertigo, headache, poor naming, blurred vision and gait instability.
8 Bad Eyes, Bad Walking and Bad Judgement (Presentation Video)Fraser, ClareA 20-year old male with deteriorating vision OS and a 13-year history of combined variable immunodeficiency. Previous history significant for atypical mycobacterium.
9 Non-Functional Sinus Disease (Presentation Video)Shelton, JulieA 6-year old female with a 1-week history of worsening vision OU > OD and a 2-month history of worsening headaches.
10 A Case of Recurrent Encephalopathy, Seizures, and Retinopathy (Presentation Video)Walsh, RyanA 45-year old male with right hemisphere encephalitis and a Dx of macular degeneration at age 43. Previous history significant for a learning disability and a complex partial seizure disorder diagnosed 20 years earlier subsequently managed with an anti-epileptic.
11 Trouble Reading (Presentation Video)Stacy, RebeccaA 60-year old female with a 4-week history of progressive difficulty reading and word comprehension. Previous history significant for a 20-year history of recurrent granulomatous iritis in OU and chronic variable immune deficiency (CVID), diagnosed 23 years previous with associated hepatitis and der...
12 Not a Benign Tumor (Presentation Video)Jiang, HongA 43-year old female with blurred vision OU. Previous history signicant for a 10-year history of recurrent colon cancer Tx antineoplastic agents, pituitary mass, hypopituitarism and diabetes insipidus.
13 Poor Visual Recovery Following Treatment of Panuveitis in a 62 Year-old Man with Biopsy-proven Sarcoidosis (Presentation Video)Gelfand, JeffreyA 62-year old male with blurred vision OS, progressive gait instability, episodic falling and confusion. Previous history significant for LP that revealed meningitis and lung and hilar lymph node biopsies that demonstrated sarcoidosis.
14 Some Hairy Gossyp (Presentation Video)Thornton, IveyA 13-year old female with a perceived whiteness affecting her right field of vision. Previous history significant for seizure-like spikes affecting sleep and ventricular and atrial septal defects, the latter of which, surgically repaired.
15 ‘Tis Nobler in the Mind to Suffer... Or to Take Arms Against a Sea of Troubles and by Opposing End Them? (Hamlet act 3, scene 1) (Presentation Video)Moss, Heather41-year old female with a shadow over the left eye.
16 Twice Bitten, Once Shy (Presentation Video)Shin, RobertA 57-year old female with fatigue, confusion and headache associated with a right inferior quadrantanopsia.
17 Another Case of Guillain-Alajouanine-Garcin Syndrome [also known as Bertolotti-Garcin syndrome, Garcin's syndrome, Garcin-Guillain syndrome, Hartmann's syndrome (Friedrich Hartmann), Schmincke tumor-unilateral cranial paralysis syndrome...] (Presentation Video)Valérie Biousse, MD Departments of Ophthalmology and Neurology, Emory University School of MedicineA 37-year old male with multiple right-side cranial nerve palsies. Previous history significant for hypertension and sleep apnea. Family history remarkable for diabetes, glaucoma and thyroid disease.
18 Tics and Fleas (Presentation Video)Nancy J. Newman, MD, Emory Eye CenterA 61-year old female with tic douloureux and diplopia. Previous history significant for squamous cell skin cancer below right eye, surgically resected. Dx atypical trigeminal neuralgia after neurological consult following administration of local anesthetic for basal cell carcinoma resection.
19 What's In a Name? (Presentation Video)Nicholas J Volpe, MD, Northwestern University76-year old male; five year history of muscle pain and arthralgia; four year history of PMR symptoms; gastrointestinal illness.
20 Combing the Globe for Terrorism (Presentation Video)Norah S. Lincoff MD, University at BuffaloAn 83-year old male; hypertension; atrial fibrillation; type II diabetes mellitus; squamous cell carcinoma of the face; prostate cancer (treated).
21 Pseudo Pseudo Pseudo Tumor Cerebri (Presentation Video)Marc J. Dinkin, MD, Weill Cornell MedicineA 27-year old male with visual disturbances and worsening headache.
22 Golden GrapesMoss, Heather E; Zivin, Sean; Lin, Amy; Aakalu, Vinay; Osmanovic, Senad; Al Heeti, Omar; Mayer, Stockton; Patel, MaheshA 71 year-old African American woman presented with a painful right retrobulbar optic neuropathy and weight loss. ESR was 74. She was treated with steroids. Temporal artery biopsy did not show arteritis. Nine days later, while on a steroid taper, she developed fevers, worsening right eye vision, pto...
23 WHAT?!? (Presentation Video)Beau Bruce, MD, PhD, Emory UniversityA 49-year old male with a 3-week history of headache, nausea and blurred vision OD, followed by 2 days of vertigo and hearing loss. Previous history significant for obesity, obstructive sleep apnea, amblyopia OD, LASIK OS, and a 10-year history of vertigo.
24 Parkinsonitis (Presentation Video)Kim, AliceAn 83-year old male with a 2-year history of motor, left gaze palsy and cognitive slowing. Previous history significant for hypertension, hypercholesterolemia, Gilbert syndrome, and atrial fibrillation.
25 Do Not Take Diplopia Lightly (Presentation Video)Hills, WilliamA 37-year-old female with a 6-week history of diplopia, nausea and headache. Previous history significant for migraine with occasional aura and minor head trauma as a child.
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