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Title | Creator | History |
76 |
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A TAAD Bit Unusual | Nisreen K. Mesiwala, Susan T. Stefko | A 12 year-old previously healthy boy presented to the emergency room with a five-day history of progressive frontal headaches and acute onset of horizontal, binocular diplopia on left gaze. He had no significant medical history and his only significant ocular history was mild myopia and X-linked col... |
77 |
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Innocent until Proven Guilty | Heather E. Moss, Tiffany Stroup, Amy Lin, Oliver Graf, Jeffrey Borgeson, Aaron Halfpenny, Howard Lipton, Tibor G. Valyi-Nagy | A 31 year-old male experienced right eye blurring and pain. He was diagnosed with optic neuritis and treated with IV steroids. Nine days later he developed headache, worsening vision, speech trouble and right-sided weakness. Two days later he developed low-grade fever and trouble walking. He had NLP... |
78 |
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More Than a Cu-bit of Vision Loss | Philip M. Skidd, Rebecca C. Stacy, Waqar Waheed, Mohamed-Ali Babi | A 45 year-old, right-handed, man, presented after awakening with no vision in his left eye. Two days earlier he had experienced a brief episode of binocular horizontal, and then oblique, diplopia. One week prior, he developed left facial numbness and "sinus pain" on the same side; a five day course ... |
79 |
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Much-Ado About Acute Vision Loss | Mahsa A. Sohrab, Andrea Birnbaum, Michael Sidiropoulos, Lois Polatnick, Nicholas J. Volpe, MD, Northwestern University | Progressive fatigue and right face, arm, and leg pain. |
80 |
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Burned by Diplopia | Bonnie M. Keung, Reuben M. Valenzuela, Meena Gujrati, Jeffrey R. DeSanto, Jorge C. Kattah, John H. Pula | In 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. |
81 |
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Wear and Tear Vision | Konrad P. Weber, Caterina Schweier, Veronika Kana, Thomas Guggi, Katarzyna Byber, Klara Landau, MD, FEBO, University of Zurich | A 66-year-old woman presented with a four-month history of insidious bilateral visual loss. Ophthalmologic examination revealed visual acuity reduced to finger counting in both eyes. On fundus examination, maculae and optic discs appeared normal. Visual fields showed bilateral central scotoma with m... |
82 |
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Which One is The Real Zebra | Madhura A. Tamhankar, Julia Kharlip, Robert Lustig, Jon Burnham, Karuna Shekdar, Michele Paessler, Lucy Rorke, Kristina Cole | A 15-year-old male complained of headaches and nausea, two months after appendectomy. |
83 |
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A Case of Cotton Wool Spots | Golnaz Moazami, Hermann D. Schubert, Jacinda Sampson, Claire Riley | A 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... |
84 |
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It's Deja Vu All Over Again | Aileen A. Antonio-Santos, Yanny L. Phillips, Baha El Khatib, Howard T. Chang, David I. Kaufman, DO, Chair, Neurology & Ophthalmology, Michigan State University; Eric R. Eggenberger, DO, Mayo Clinic | A 51-year-old male with a history of amblyopia OD presented in February 1999 with hyperemia, swelling and periorbital pain of the left eye. Visual acuity (VA) was 20/80 OD and 20/25 OS; color vision was 10/11 Ishihara plates OU, and Goldmann perimetry showed an inferior quadrantanopia OS. There was ... |
85 |
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Beware the Trojan Horse | Denize Atan, Nithin Nair, Mrinal Rana, Swarupsinh V. Chavda, Andrew Jacks | Systemic hypertension, hypercholesterolemia, and cerebrovascular disease treated with an antiplatelet drug, thiazide diuretic, ACE inhibitor and statin. |
86 |
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An Ironclad Case of Vision Loss | Marc J. Dinkin, George Parlitsis, Sarju Patel, Alexander E. Merkler, Audrey Schuetz, Cristiano Oliveira | A 43-year-old man with AIDS and a CD4 count of 4, non-compliant with HAART, presented with four days of headache, photophobia and vision loss in his left eye. There was a history of treated syphilis and CMV retinopathy. On neuro- ophthalmological examination, visual acuities were 20/40 OD (formerly ... |
87 |
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Double Vision? - Give Your Head a Shake | Vivek Patel, Danah Albreiki | 3 month history of constant binocular oblique diplopia with mild worsening, progressive disequilibrium, and a wide based gait. No vertigo, loss of coordination, loss of vision or oscillpsia, hearing loss, or tinnitus. No history of cancer, hypothyroidism, GI malabsorption or anemia. Occupational his... |
88 |
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Spots, Spots Everywhere, And Not A Spot To See | Sarkis M. Nazarian, Kelli Y. Shaon, Kenneth R. Habetz, Ayman Al-Salaimeh, John D. Schwankhaus, Joseph G. Chacko, MD, University of Arkansas | Additional history revealed that the patient had suffered a tick bite about two weeks prior to the onset of his rash. |
89 |
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A Wolf in Bear's Clothing | Peter W. MacIntosh, Agatha Bogard, Pete Setabutr, Heather E. Moss | An eleven-month-old African-American girl with medical history of reactive airway disease developed a bump and bags under both eyes which her mother attributed to minor trauma. There were no signs of systemic illness. A week later, her mother noticed more prominent right eye edema and a new bump beh... |
90 |
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Golden Grapes | Heather E. Moss, Sean Zivin, Amy Lin, Vinay Aakalu, Senad Osmanovic, Omar Al Heeti, Stockton Mayer, Mahesh Patel | A 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... |
91 |
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Diabetes Does Not Explain It All | Philip M. Skidd, Joseph F. Rizzo III, MD, Florian S. Eichler, Dean M. Cestari | Systemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression. |
92 |
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No Rhabdo? | Mark R. Melson | A 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... |
93 |
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Sacramentum Gladiatorium | Michael S. Vaphiades, MD, University of Alabama, Jennifer Doyle | Medical history includes hypertension and hyperlipidemia. |
94 |
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Raise Your Grade Point Average | Hilary M. Grabe, Jeffrey L. Myers, Douglas J. Quint, Victor M. Elner, Jonathan Daniel Trobe MD, Michigan University | Two years earlier, he had had persistent hearing loss in the left ear attributed elsewhere to infection. One year later, he developed left facial weakness diagnosed as Bell's palsy, treated with corticosteroids without recovery. A few months later, he became hoarse and had difficulty swallowing. |
95 |
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Ain't No Sunshine When You Are Gone! | Veeral S. Shah, Linda L. Sternau, Michelle Felicella, Sanders Dubovy, Chris Alabiad, Norman J. Schatz, MD, Bascom Palmer Eye Institute; Byron L. Lam | An 18 year-old Latin American female presented with progressive visual loss OD over 6 weeks. She initially had blurry vision and photophobia OD with a central scotoma OD on HVF testing. At that time, examination revealed a right swollen optic nerve with retinal hemorrhages. She was otherwise healthy... |
96 |
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Some Orbital Confusion | Steven A. Newman, MD, University of Virginia School of Medicine, David T. Bourne | In September 2006 he had been referred for a second opinion regarding a 5 year history of intermittent swelling around the right orbit, worsening over 7 months associated with double vision, and proptosis (C,D). |
97 |
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Clues Hidden in the Skin | Janet C. Rucker, Catherine Cho, James Weisfeld-Adams, Scott E. Brodie | She 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 ... |
98 |
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Occam's Razor or Gamma Knife? | Kaushal M. Kulkarni, Linda L. Sternau, Byron L. Lam | Hypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier. |
99 |
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‘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) | Heather E. Moss | 41-year old female with a shadow over the left eye. |
100 |
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When Life Gives You Lymphocytes, Make Limeade (Presentation Video) | Melissa W. Ko, MD, FAAN, CPE | A 62-year old female; hypercholesterolemia. |