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TitleCreatorHistory
1 A 4-Year WaitDmitry Balian, Sachin Kedar, Michaelyn Everhart, Aleh Bobr, Liudmila MuinovA 64 year old male with past history of hypertension, arthritis and chronic headache developed transient tingling and numbness of his left face in February 2016 and was diagnosed to have "trigeminal neuralgia". Two months later, he presented to the ED with sudden onset of binocular tilted diplopia. ...
2 Frizzle FrazzledEric Gaier, Farrah Rajabi, Anne Fulton, Gyula Acsadi, David WaitzmanAn otherwise healthy 12-year-old boy originally from Palestine was referred for refractory papilledema secondary to familial IIH. He has a history of fully accommodative esotropia with onset age 2-3. At age 9, elevated optic nerves prompted a neuro-ophthalmic referral. Best corrected visual acuities...
3 Oh My GAD!! Something Else?Olwen Murphy, Kemar Green, John Probasco, Daniel GoldA 43 -year-old man presented with oscillopsia, dizziness, binocular vertical diplopia, and gait difficulties. He reported a six-month history of abdominal pain, anorexia and 50-pound weight loss, and a 3-month history of mood and cognitive changes. Torsional nystagmus, a left 4th nerve palsy (NP), u...
4 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, ...
5 Gone but Not ForgottenJonathan Micieli, Adriana Krizova, Walter MontaneraA 52 -year-old healthy woman presented with a 1-week history of blurred vision and "soreness" in her left eye. Neuro-ophthalmic examination revealed a visual acuity of 20/20 OD, 20/40 OS, left RAPD and left superior arcuate defect on Humphrey visual field testing. Dilated fundus examination demonstr...
6 A Small Leak Will Sink a Great ShipKonstantinos Douglas, Vivian Paraskevi Douglas, Cameron Sadegh, David Chow, Sigurros Davidsdottir, Ganesh Shankar, Bradley Buchbinder, Bart ChwaliszA 68 -year-old right -handed man presented for evaluation of progressive and fluctuating polyopia, gait instability and cognitive changes of about 14 months. Prior medical history was notable for Crohn's disease in remission, atrial fibrillation, a single episode of aseptic meningitis 12 years prior...
7 Orbiting a DiagnosisDaniel Liebman, Daniel Lefebvre, Emily Tam, Marie Lithgow, Bart Chwalisz, Eric Gaier, Joseph KaneA 75 -year-old male with a history of chronic/small lymphocytic leukemia (CLL/SLL) presented for one day of left retro-orbital headache, painful eye movements, eyelid swelling, and diplopia. One week prior, his WBC count was 39.9 K/uL with 86% lymphocytes. Three days prior to presentation, the patie...
8 '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...
9 Sometimes a Biopsy is BestKevin Chodnicki, Natalie Wolkow, Michael Yoon, Bart ChwaliszA 30 -year-old pregnant woman without significant medical or ocular history presented with decreased right eye vision. In her 2nd trimester, she was diagnosed with Lyme disease with a bulls-eye rash and positive Lyme antibodies; she was treated with two weeks of amoxicillin. At 33 weeks pregnant she...
10 A Definite MaybeRaghu C. Mudumbai, Alex Solomon73 yo man French-Canadian presented to our institution for another opinion for a long standing diagnosis of Oculopharyngeal Dystrophy given at an outside institution. 17 years ago, the patient developed unfluctuating double vision that progressed to include severe, unfluctuating ptosis and mild dysp...
11 A Candid Look at a Missed DiagnosisMargolin, Edward; Gopwani, Jasmine; Willinsky, RobertShe was diagnosed with migraine, stress, and "drug seeking" presumed from a history of past (intravenous?) heroin use.
12 Wear and Tear VisionWeber, Konrad P; Schweier, Caterina; Kana, Veronika; Guggi, Thomas; Byber, Katarzyna; Klara Landau, MD, FEBO, University of Zurich
13 Sacramentum GladiatoriumMichael S. Vaphiades, MD, University of Alabama; Doyle, JenniferMedical history includes hypertension and hyperlipidemia.
14 No Rhabdo?Melson, Mark RA 5 year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly. She had a 5 week history of swelling around her right eye. Her pediatrician diagnosed a blocked tear duct and referred her to an ophthalmologist. She failed empiric treatment for orbital cellulitis an...
15 Which One is The Real ZebraTamhankar, Madhura A; Kharlip, Julia; Lustig, Robert; Burnham, Jon; Shekdar, Karuna; Paessler, Michele; Rorke, Lucy; Cole, KristinaA 15-year-old male complained of headaches and nausea, two months after appendectomy.
16 Renal Red HerringChen, John J; Brinkley, John J; Singh, Namrata; Maltry, Amanda C; Policeni, Bruno A; Allen, Richard C; Longmuir, Reid A; Thurtell, Matthew JWegener's Granulomatosis
17 A TAAD Bit UnusualMesiwala, Nisreen K; Stefko, Susan T
18 Innocent until Proven GuiltyMoss, Heather E; Stroup, Tiffany; Lin, Amy; Graf, Oliver; Borgeson, Jeffrey; Halfpenny, Aaron; Lipton, Howard; Valyi-Nagy, Tibor G
19 It's Not the TumorFrancis, Courtney E
20 Occam's Razor or Gamma Knife?Kulkarni, Kaushal M; Sternau, Linda L; Lam, Byron LHypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier.
21 Clues Hidden in the SkinRucker, Janet C; Cho, Catherine; Weisfeld-Adams, James; Brodie, Scott EShe underwent neurological evaluation at age 32 (neuroimaging, serologies, lumbar puncture, muscle biopsy) with no resultant diagnosis (records unavailable). She required a wheelchair by age 36 and gradually developed slurred speech, cognitive decline, and worsened motor function. Simultaneous with ...
22 Burned by DiplopiaKeung, Bonnie M; Valenzuela, Reuben M; Gujrati, Meena; DeSanto, Jeffrey R; Kattah, Jorge C; Pula, John HIn March 2012 he sustained a concussion and forehead laceration from a motor vehicle accident. In August 2012, he developed painless, binocular, vertical diplopia, which limited him from painting art. In November 2012, his examination showed -2 limitation of up-gaze OD.
23 Beware the Trojan HorseAtan, Denize; Nair, Nithin; Rana, Mrinal; Chavda, Swarupsinh V; Jacks, AndrewSystemic hypertension, hypercholesterolemia, and cerebrovascular disease treated with an antiplatelet drug, thiazide diuretic, ACE inhibitor and statin.
24 More Than a Cu-bit of Vision LossSkidd, Philip M; Stacy, Rebecca C; Waheed, Waqar; Babi, Mohamed-Ali
25 A Case of Cotton Wool SpotsMoazami, Golnaz; Schubert, Hermann D; Jacinda, Sampson; Claire, Riley
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