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1 The Case of a Dog GroomerMadhura Tamhankar; Ryan Walsh; Collin McClelland; Nicholas Volpe; Roberta GausasA 64-year old female with a 2-month history of binocular vertical diplopia. Previous history significant for hypertension, colon cancer treated with bowel resection, restless leg syndrome and hypothyroidism. Previous ocular history significant for amblyopia OD and narrow angles Tx laser iridotomy.
2 The Case of a Dog Groomer (PowerPoint)Madhura Tamhankar; Ryan Walsh; Collin McClelland; Nicholas Volpe; Roberta GausasA 64-year old female with a 2-month history of binocular vertical diplopia. Previous history significant for hypertension, colon cancer treated with bowel resection, restless leg syndrome and hypothyroidism. Previous ocular history significant for amblyopia OD and narrow angles Tx laser iridotomy.
3 The Costs of ContainmentJeffrey Gelfand; Charles Thirkill; John Keltner; Ari GreenA 68-year old male with 1-1/2 year history of painless blurred vision OU. Previous history significant for subacute paraparesis from spinal meningitis (subsequently resolved), ischemic optic neuropathy with residual central loss of vision OS. Remote history of a 78 pack-year of smoking.
4 The Costs of Containment (PowerPoint)Jeffrey Gelfand; Charles Thirkill; John Keltner; Ari GreenA 68-year old male with 1-1/2 year history of painless blurred vision OU. Previous history significant for subacute paraparesis from spinal meningitis (subsequently resolved), ischemic optic neuropathy with residual central loss of vision OS. Remote history of a 78 pack-year of smoking.
5 How Many Surgeons and Pathologists Does It Take to Diagnose an Orbital Neoplasm? (PowerPoint)Allison N. McCoy; Prem S. Subramanian; Neil R. Miller; Hangxiu Xu; Franz M. CruzA 13-year old male with a 2-year history of recurrent subconjunctival hemorrhage, pain, and swelling OD. Previous history significant for ADHD.
6 How Many Surgeons and Pathologists Does It Take to Diagnose an Orbital Neoplasm?Allison N. McCoy; Prem S. Subramanian; Neil R. Miller; Hangxiu Xu; Franz M. CruzA 13-year old male with a 2-year history of recurrent subconjunctival hemorrhage, pain, and swelling OD. Previous history significant for ADHD.
7 A Wolf in Sheep's ClothingHeather E. Moss; Tibor Valyi-Nagy; J. Lee VillanoA 23-year old male with transient visual obscurations and subsequent bilateral peripheral loss of vision.
8 A Wolf in Sheep's Clothing (PowerPoint)Heather E. Moss; Tibor Valyi-Nagy; J. Lee VillanoA 23-year old male with transient visual obscurations and subsequent bilateral peripheral loss of vision.
9 A Case of Net Visual Loss and GainThomas Slamovits; Jerome Posner; Diane Reidy; Charles Thirkill; John KeltnerA 68-year old female with a sudden loss of vision OU. Previous history significant for anemia, presumed by patient to account for her presenting symptoms.
10 A Case of Net Visual Loss and Gain (PowerPoint)Thomas Slamovits; Jerome Posner; Diane Reidy; Charles Thirkill; John KeltnerA 68-year old female with a sudden loss of vision OU. Previous history significant for anemia, presumed by patient to account for her presenting symptoms.
11 A Bright Spot Causing Darkness (Presentation Video)Thomas HwangA 20-year old male with a 2-week history of headache and blurred vision.
12 Not a Benign TumorHong Jiang; Linda Sternau; Norman Schartz; Byron Lam; Lawrence M. WongA 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 A Case of Net Visual Loss and Gain (Presentation Video)Thomas Slamovits; Jerome Posner; Diane Reidy; Charles Thirkill; John KeltnerA 68-year old female with a sudden loss of vision OU. Previous history significant for anemia, presumed by patient to account for her presenting symptoms.
14 A Bright Spot Causing Darkness (PowerPoint)Thomas HwangA 20-year old male with a 2-week history of headache and blurred vision.
15 A Bright Spot Causing DarknessThomas HwangA 20-year old male with a 2-week history of headache and blurred vision.
16 Not a Benign Tumor (PowerPoint)Hong Jiang; Linda Sternau; Norman Schartz; Byron Lam; Lawrence M. WongA 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.
17 Not a Benign Tumor (Presentation Video)Hong Jiang; Linda Sternau; Norman Schartz; Byron Lam; Lawrence M. WongA 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.
18 Rectifying the Apposite Diagnosis (PowerPoint)Beau Bruce, MD; Mahtab Tehrani, MD; Mark Melson, MD; Nancy Newman, MD; Valerie Biousse, MDA 65-year old male with a 6 week history of progressive balance difficulties, bilateral hearing loss and loss of vision OD. Previous history significant for hypertension and rectal cancer Tx surgery, antineoplastic agents and XRT.
19 Rectifying the Apposite Diagnosis (Presentation Video)Beau Bruce, MD; Mahtab Tehrani, MD; Mark Melson, MD; Nancy Newman, MD; Valerie Biousse, MDA 65-year old male with a 6 week history of progressive balance difficulties, bilateral hearing loss and loss of vision OD. Previous history significant for hypertension and rectal cancer Tx surgery, antineoplastic agents and XRT.
20 Rectifying the Apposite DiagnosisBeau Bruce, MD; Mahtab Tehrani, MD; Mark Melson, MD; Nancy Newman, MD; Valerie Biousse, MDA 65-year old male with a 6 week history of progressive balance difficulties, bilateral hearing loss and loss of vision OD. Previous history significant for hypertension and rectal cancer Tx surgery, antineoplastic agents and XRT.
21 Confusing Diplopia (Presentation Video)Dan Boghen, MD, FRCPC; Katie Luneau, MD; Isabelle Hardy, MD, FRCSC; Patrick R. Boulos, MD, FRCSC; Julie Falardeau, MD, FRCSCA 45-year old female with diplopia.
22 Confusing Diplopia (PowerPoint)Dan Boghen, MD, FRCPC; Katie Luneau, MD; Isabelle Hardy, MD, FRCSC; Patrick R. Boulos, MD, FRCSC; Julie Falardeau, MD, FRCSCA 45-year old female with diplopia.
23 Confusing DiplopiaDan Boghen, MD, FRCPC; Katie Luneau, MD; Isabelle Hardy, MD, FRCSC; Patrick R. Boulos, MD, FRCSC; Julie Falardeau, MD, FRCSCA 45-year old female with diplopia.
24 Star Light, Star Bright (9 Gaze Image)Shannon C. Lynch, MD; Andrew G. Lee, MD; Patricia A. Kirby, MDAn 83-year female with ptosis and binocular oblique diplopia.
25 Star Light, Star Bright (Axial CT without Gadolinium)Shannon C. Lynch, MD; Andrew G. Lee, MD; Patricia A. Kirby, MDAn 83-year female with ptosis and binocular oblique diplopia.
26 Star Light, Star Bright: (Axial MRI T1 Post)Shannon C. Lynch, MD; Andrew G. Lee, MD; Patricia A. Kirby, MDAn 83-year female with ptosis and binocular oblique diplopia.
27 Star Light, Star Bright (Coronal MRI T1 Post)Shannon C. Lynch, MD; Andrew G. Lee, MD; Patricia A. Kirby, MDAn 83-year female with ptosis and binocular oblique diplopia.
28 Star Light, Star Bright (Pathology HMB 45 600)Shannon C. Lynch, MD; Andrew G. Lee, MD; Patricia A. Kirby, MDAn 83-year female with ptosis and binocular oblique diplopia.
29 Star Light, Star Bright (Pathology)Shannon C. Lynch, MD; Andrew G. Lee, MD; Patricia A. Kirby, MDAn 83-year female with ptosis and binocular oblique diplopia.
30 Star Light, Star Bright (Presentation Video)Shannon C. Lynch, MD; Andrew G. Lee, MD; Patricia A. Kirby, MDAn 83-year female with ptosis and binocular oblique diplopia.
31 Star Light, Star BrightShannon C. Lynch, MD; Andrew G. Lee, MD; Patricia A. Kirby, MDAn 83-year female with ptosis and binocular oblique diplopia.
32 Star Light, Star Bright (Axial MRI T1 Post)Shannon C. Lynch, MD; Andrew G. Lee, MD; Patricia A. Kirby, MDAn 83-year female with ptosis and binocular oblique diplopia.
33 Star Light, Star Bright: Axial MRI T1 Pre and PostShannon C. Lynch, MD; Andrew G. Lee, MD; Patricia A. Kirby, MDAn 83-year female with ptosis and binocular oblique diplopia.
34 Star Light, Star Bright (Diffusion MRI)Shannon C. Lynch, MD; Andrew G. Lee, MD; Patricia A. Kirby, MDAn 83-year female with ptosis and binocular oblique diplopia.
35 Star Light, Star Bright (Pathology)Shannon C. Lynch, MD; Andrew G. Lee, MD; Patricia A. Kirby, MDAn 83-year female with ptosis and binocular oblique diplopia.
36 The Cavernous Sinus Is Normal?Maria Aguilar, MD; John E. Carter, MD; Carlos Bazan III, MDA 61-year old male with diplopia, facial numbness and carotid stenosis.
37 When Small Is BigMadhura A. Tamhankar, MD; Nicholas J. Volpe, MD; Subhojit Roy, MD, PhD; Laurie A. Loevner, MDA 44-year-old male with a 1-day history of loss of depth perception and visual loss OD. Previous history significant for Lyme disease and Bell palsy.
38 Just Another Case of Pituitary Apoplexy?David Chen, MD; Thomas R. Hedges III, MDA 46-year old female with drooping right lid, double vision and severe headache. Previous history significant for autoimmune hepatitis and bilateral idiopathic uveitis.
39 Elevated Intracranial Pressure Associated with a Cervical MeningiomaWilliam M. Hart, MD, PhD; Michael Wall, MD; Morton Smith, MDA 39-year old male with intracranial pressure, headache and Dx cervical meningioma.
40 Temporal AssociationsLouise A. Mawn, MD; Stefanie Knapp; Jing Zhang, MD, PhDA 61-year old female with a 2-day history of foggy vision OS and headache. Previously history significant for diabetes mellitus and lumpectomy for breast neoplasm.
41 Node Way OutMichael S. Vaphiades, DO; Scott M. Witcup, MD; Harry H. Brown, MDA 57-year old female with positive visual phenomena OU in the form of a kaleidoscope type image associated with a central scotoma OU, headache and night-blindness. Previous history significant for diabetes mellitus, hypertension and hypothyroidism.
42 I.I.I.I.H. (Incessant Imposter of Idiopathic Intracranial Hypertension)Deborah I. Friedman, MD; David Thompson, MD; Mark V. Smith, MD; Thomas Coyle, MDA 22-year old male with headache, intracranial noise and eye fatigue and blind spot OD.
43 Visual Loss: A Sinus Headache?Angela W. Kim, MD; Jonathan D. Trobe, MD; Wayne T. Cornblath, MDA 61-year old male with temporal scotoma OU and metamorphopsia. Previous history significant for type II diabetes, hypertension and cluster headache.
44 A 62 Year Old Woman with Orbital and Intracranial MassesFrancine Wein; Julian D. Perry; Christopher A. Girkin; Donald A. Leopold; David A. Brinker; Neil R. MillerA 62-year old female with a 10-week history of painless blurred vision OS. Previous history significant for hypercholesterolemia, bilateral sensorineural hearing loss and a basal cell carcinoma excised from the right side of nose 12 years earlier.
45 Unilateral Progressive Visual Loss with Optic Disc EdemaJennie U. Sung, MD; B. Lam, MD; V. Curtin, MD; R. Rosa, MD; D. Tse, MD; N. Schatz, MD; D. Jillapalli, MDA 59-year old male with a 3-week history of seeing shadows. Previous history significant for coronary artery disease. Family history remarkable for diabetes.
46 Shooting CrapsJeffrey Bennett, MD; Steven Galetta, MD; William Bank, MD; Andrew Lieberman, MD; Grant Liu, MDA 55-year old male with episodic confusion and monocular amaurosis. Previous history significant for coronary artery disease and hypertension.
47 An Asynchronous OrbitSteven A. Newman, MD; Federico Gonzalez-Fernandez, MDA 65-year old man with headache and balance associated with episodes of dizziness. Previous history significant for squamous cell carcinoma in situ of the conjunctiva.
48 Visual Loss in a Man with Metastatic MelanomaJohn W. Gittinger Jr., MD; Thomas W. Smith, MD; Allen D. Ward, MDA 59-year-old male with malignant melanoma, attendant loss of vision.
49 I'll Be Seeing EweValérie Biousse, MD; Nancy J. Newman, MDA 15-year old male with headache associated with self-reported black spots in the visual field. Previous history significant for a tumor of the skull Dx Ewing's sarcoma.
50 A Chiasmal ConundrumSteven A. Newman, MD; Scott R. Vandenberg, MDA 33-year old female with a 1-month history of severe frontal headache. Previous history significant for discovery of prior excision of left scapular melanoma.
51 Old Lesion, New PalsyTodd C. Geis, MD; Nancy J. Newman, MDA 48-year old female with horizontal diplopia. 3 years prior to referral, right facial weakness, hypesthesia and ipsilateral loss of hearing and ataxia experienced. Previous history significant for chronic liver disease with splenomegaly, malabsorption syndrome, thrombocytopenia with anemia and Hash...
52 Optic Nerve Sheath Meningioma: Postmortem InsightsAnthony C. Arnold, MD; Robert Hepler, MD; Maha Badr, MD; Robert Lufkin, MD; Yoshimi Anzai, MD; Patricia Konrad, MD; Harry Vinters, MDA 71-year old female with painless onset of dimming vision OD.
53 Papilledema with Cortical Visual LossJonathan C. Horton, MD, PhD; Brooks J. Crawford, MDA 48-year old female with Dx idiopathic intracranial hypertension and a history of intermittent bi-frontal, pulsatile headache associated with vomiting and photophobia. Previous history significant for Dx carcinomatous meningitis from metastatic melanoma.
54 When Up and Out Means Down and OutSusan M. Ksiazek, MD; Thomas L. Slamovits, MD; Ronald M. Burde, MD; Carl Rosen, MDA 50-year old male with a 1-week history of binocular vertical diplopia. Previous history significant for hypertension, shingles and gonorrheal infection. A 20-year history of smoking a pack-a-day.
55 Progressive Cortical BlindnessJacqueline Winterkorn, MD, PhD; N. Epstein, MD; P. Farmer, MD; P. Ragone, MD; S. Teichberg, MDA 68-year old female with a 6-month history of progressive loss of vision.
56 Visual Loss in a 59-Year Old ManJohn W. Gittinger Jr., MD; Joseph Rizzo, MD; Charles E. Thirkill, PhD; Alan M. Roth, MDA 59-year old male with a sudden onset of visual disturbance.
57 Progressive Cavernous Sinus SyndromeBrain T. Perkovich, MD; Gregory S. Kosmorsky, DO; Mindy L. Estes, MDA 64-year old female with a 1-month history of binocular, horizontal diplopia.
58 Complete Ophthalmoplegia and SomnolenceRobert W. Lorance, MDA 72-year old female with somnolence and ophthalmoplegia.
59 Double TroubleIvor S. Levy, FRCS; D. J. Muir-Taylor, MB, BS, MRCS, LRCP, FBOA, DOAn 18-year old male with diplopia and tearing OS.
60 Somewhere Over the SphenoidMichael L. Slavin, MDA 71-year old female with numbness in the right lip and cheek progressing to the right mandible and forehead. A 12-pound weight loss accompanied by horizontal diplopia further developed over an 8-month period.
61 Acute Visual Loss in a Woman with Metastatic Breast CarcinomaJoel M. Weinstein, MD; George L. Morris, MD; Lindell R. Gentry, MD; Gabrielle M. ZuRhein, MDA 33-year old female with diminished vision OU. Previous history significant for metastatic infiltrative, intraductal breast carcinoma which was treated with modified radical mastectomy and chemotherapy. 15 months after surgery readmitted for myelography to evaluate complaints of severe back pain. I...
62 A Sellar MassWayne Shtybel, MD; Melinda L. Estes, MD; Robert L. Tomsak, MD; Janet Bay, MDA 70-year old male with acute, painless horizontal diplopia followed 2 months later by headache, nausea, photophobia and weight loss.
63 Isolated, Inferior Rectus Palsy in a Patient with Esophageal CarcinomaLyn A. Sedwick, MD; Thomas J. Pusateri, MD; Curtis E. Margo, MDA 55-year old male with a 2-week history of vertical, binocular diplopia. Previous history significant for squamous cell carcinoma of the esophagus with metastatic lesions in lung and supraclavicular lymph nodes.
64 Ophthalmoplegia, Ataxia and Repriratory FailureRobert S. Hepler, MD; Robert D. Yee, MD; Harry V. Vinters, MDA 58-year old male with diplopia, dizziness, fatigue and difficulty walking. Previous history significant for renal cell carcinoma discovered during nephrectomy of the right kidney.
65 One-and-a-half SyndromeJohn W. Gittinger Jr., MDA 75-year old male with a history of diplopia.
66 Concomitant Orbital and Subcutaneous NodulesBaird S. Grimson, MDA 46-year old female with decreased vision OD and right proptosis.
67 Nasal Orbital TumorW. Bruce Wilson, MDA 31-year old male with a small mass in the area of the left lacrimal sac.
68 Mucinous Adenocarcinoma Metastatic to the Eye and OrbitSteven C. Dresner, MD; John S. Kennerdell, MD; Bruce L. Johnson, MDCase 1: A 30-year old male with pain, right proptosis and limited extraocular motility. Case 2: A 38-year old male with a 2-month history of pain and photophobia OS.
69 Painful Ophthalmoplegia Following Cataract ExtractionLanning B. Kline, MD; Richard B. Morawetz, MDA 77-year old male developed peri-orbital pain and III and IV nerve palsies after a left extracapsular cataract extraction with insertion of a posterior chamber lens.
70 Upgaze Paralysis Caused by a Lesion of the Periaqueductal GreyPaul Thames, MD; Jonathan D. Trobe, MD; William Ballinger, MDA 61-year old male with fever, lethargy, upgaze paralysis and convergence-retraction nystagmus. Previous history significant for prostatic anaplastic adenocarcinoma with cervical mode metastasis.
71 Peripheral Facial Palsy with Preservation of Taste Appreciation and Tearing resulting from an Intrapontine LesionRobert H. Spector, MDTwo patients, each with an intrapontine lesion in the floor of the fourth ventricle with similar clinical findings.
72 Sudden Total Ophthalmoplegia Following Burr Holes - Occult Metastasis to Cavernous SinusesRichard P. Mills, MD; Sam J. Insalaco, MD; Allen Joseph, MDA 59-year old male with a previous Dx of undifferentiated lung carcinoma complained of headache, principally behind the right eye and nausea.
73 An Unusual PinealomaGene Zdenek, MD; Gerald Horn, MD; Michael Rosenberg, MDA 16-year old male with intermittent headache and diplopia.
74 Metastatic MelanomaBoban Joseph, MD; Neil R. Miller, MDA 63-year old female with decreased vision OS that led to Dx malignant melanoma; Tx enucleation of left globe.
75 Meningeal CarinomatosisRichard E. Appen, MD; G. de Venecia, MD; J. H. Selliken, MD; M. F. Hahn, MDA 53-year old male with a history of schizophrenia admitted with headache, insomnia, difficulty walking and vague visual problems.
76 A Brain Stem SyndromeSimmons Lessell, MDA 52-year old male with a cold, consisting of a productive cough without fever. Two weeks later equilibrium problems developed. Previous history significant for lumbar laminectomy.
77 Vertical Downbeat NystagmusN. J. Schatz, MD; N. S. Schlezinger, MDA 57-year old male with a 4-week history of balance difficulties and double vision. Previous history significant for adenocarcinoma of the lung Tx thoracotomy.
78 Third Nerve Palsy with Progressive Spinal Cord DysfunctionRobert S. Hepler, MD; J. Andrews, MDA 45-year old female with a right third nerve palsy that three months prior commenced with progressive ptosis.
79 Cavernous Optic Atrophy in Eyes with Metastatic Malignant MelanomaDaniel M. Albert, MD; Douglas E. Gaasterland, MDA 26-year old male with decreased visual acuity OS after sustaining a facial laceration. Previous history significant for cutaneous malignant melanoma.
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