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 | ||
|---|---|---|---|---|
| 1001 |
 |
A 17-Year Old Girl with Mastication-Induced Exophthalmos | Francine Wein | A 17-year old female with proptosis OD associated with chewing movements. |
| 1002 |
 |
Transient Cortical Blindness in a Demented Patient | Jorge C. Kattah | An 81-year old female with visual hallucinations. Previous history significant for lacunar stroke in the righ basal ganglia. |
| 1003 |
 |
Staggering and Slurring, But Not Drunk | Michael S. Okun | A 43-year old male with horizontal, binocular double vision and equilibrium disturbances |
| 1004 |
 |
Papilledema With Normal Intracranial Pressure | Kenneth C. Kubis, P. J. Savino, H. Danesh-Meyer | A 51-year old female with a past medical history significant for arthritis and bilateral hearing loss. |
| 1005 |
 |
Parieto-occipital Mass 1 Year After Painful Permanent Acute Optical Neuropathy | Jeffrey G. Odel, MD, Columbia University Medical Center | A 46-year old male with painful loss of vision OS. Previous history significant for ambylopia OS. |
| 1006 |
 |
Enophthalmos and Diplopia with a History of Breast Cancer | Jurij R. Bilyk | An 82-year old female with a 2-month history of painless double vision. Previous history significant for bilateral cataract surgery, mastectomy and lymph node dissection for breast carcinoma. |
| 1007 |
 |
Multiple Intracranial Lesions Following Treatment of Nelson's Symptoms | Luis J. Mejico | A 75-year old female with no light perception OD and right third, fourth and sixth nerve pareses. Previous history significant for diabetes mellitus, hypertension, Cushing syndrome and Nelson syndrome. After CD Dx, a bilateral adrenalectomy was performed. |
| 1008 |
 |
Painless Loss of Vision with Numbness | Cynthia T. Hsu | A 70-year old female with blurred vision OS and binocular horizontal diplopia. Previous history significant for numbness of bottom of right foot and hand, hypertension and asthma. |
| 1009 |
 |
Walleyed Potato Farmer | Judith E. A. Warner, MD, Moran Eye Center, University of Utah | A 17-year old male with a 3-month history of bilateral diplopia. |
| 1010 |
 |
Ataxia and Butterfly MRI | Adam Martidis | A 61-year-old female with a slowly progressive loss of balance over a 3-year period. |
| 1011 |
 |
Always Dot your Eyes and Cross your T's | Gayle C. Williams | A 59-year old male with progressive loss of vision OS. Previous history significant for mycosis. |
| 1012 |
 |
Jacobson's Rule | 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 Medicine | A 75-year old female with a sudden onset of vertical diplopia associated with a throbbing sensation on the right retro-orbital side. |
| 1013 |
 |
Diffusion, Perfusion, Confusion | Roger E. Turbin, MD, Rutgers New Jersey Medical School | A 49-year old female underwent uncomplicated repeat cardiac catheterization for recurrent crescendo angina 26 days after a coronary artery stent was placed. Previous history significant for diabetes. |
| 1014 |
 |
Red Nose, Red Face, Red Herrings | Norah S. Lincoff MD, University at Buffalo | A 58-year old male with periodic blurred vision in one or both eyes described as clouding lasting from a couple of hours to 2 days. The episodes cleared spontaneously without pain. This symptom was aggravated by exposure to heat. |
| 1015 |
 |
Black and White and Purple to the Right | Laura J. Balcer, MD, Professor, Department of Neurology, NYU Langone | A 79-year old female with episodes colored spots in her right hemifield, described as blue-red in color, lasting several seconds and appearing only with eyes closed. |
| 1016 |
 |
Index of cases presented at the NANOS 1999 Walsh Session | This document is an index of neuro-ophthalmic cases presented to physicians at the Frank B. Walsh session during the Annual North American Neuro-Ophthalmology Society Meeting. Clinical cases are presented by neuro-ophthalmologists with comments by neuroradiologists, neuropathologists, and other sele... | |
| 1017 |
|
Cases presented at the NANOS 1999 Walsh Session | This document includes a wide variety of neuro-ophthalmic cases as presented to physicians at the Frank B. Walsh session during the Annual North American Neuro-Ophthalmology Society Meeting. Clinical cases are presented by neuro-ophthalmologists with comments by neuroradiologists, neuropathologists,... | |
| 1018 |
 |
Unusual Orbital Inflammation | Harry S. O'Halloran | A 72-year old male with a left orbital mass. Previous history significant for sinusitis Tx: IV antibiotics. |
| 1019 |
 |
Oligo-Oligodendrocytosis | Wendy Robinson | A 19-year old female with speech difficulty and right-sided weakness. |
| 1020 |
 |
A 62 Year Old Woman with Orbital and Intracranial Masses | Francine Wein | A 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. |
| 1021 |
 |
That Was Some Accident | Jacqueline A. Leavitt | A 34-year old male with a history of headache exacerbated by a MVA with loss of consciousness and significant facial injuries. |
| 1022 |
 |
Something Out of the Sellar | Steven A. Newman, MD, University of Virginia School of Medicine | A 37-year old female with a several-year history of bi-frontal migraine headache that were occasionally accompanied by nausea and vomiting. |
| 1023 |
 |
A Patient with Dementia, Orbital Inflammation and Loss of Vision | Hadas Kalish | A 74-year old female with progressive reduction in vision over a 6-month period OS. Previous history significant for hypertension, mild diabetes and migraine. |
| 1024 |
 |
Blurred Vision and Confusion after Removal of a Craniopharyngioma | Julian D. Perry | A 64-year old female with progressive lethargy and confusion of a 3-day duration and subsequent loss of vision. Previous history significant for ventriculoperitoneal shunt placement and right frontotemporal craniotomy for resection of a suprasellar craniopharyngioma. |
| 1025 |
 |
The Mysterious Case of the Purple Toes | Howard D. Pomeranz, MD | A 65-year old female with purpuric toe lesions and a history of poorly controlled diabetes mellitus, systemic hypertension and alcohol abuse. |
| 1026 |
 |
Der Apfel fallt nicht weit von Stamm | Fierz, Anna B. | A 42-year old male with a 3-month history of loss of vision OD and junctional scotoma. |
| 1027 |
 |
Case of the Winking Peduncles | Norah S. Lincoff MD, University at Buffalo | A 59-year old female with an 11-year history of recurrent optic neuritis in one or both eyes and pain associated with movement of eyes. |
| 1028 |
 |
No Time to Panic | Victoria S. Pelak | A 47-year old male with 2-week history of progressive limb weakness. Previous history significant for Guillain-Barre syndome. |
| 1029 |
 |
Comitant Strabismus in an Older Woman | Dilip A. Thomas | A 60-year old female with acute, horizontal binocular diplopia. Previous history significant for polio and partial lumbar laminectory. |
| 1030 |
 |
Young Man with Progressive Decrease in Vision and Facial Paresthesias | Charlotte R. Thompson | A 29-year old male a 2-1/2 month history of progressive decrease in vision OS associated with a 2-month history of left facial paresthesia. Ophthalmic history significant for chorioretinitis. A history of hepatitis, typhoid fever and herpes zoster also revealed. |
| 1031 |
 |
Girl, You've Got Some Nerve! | Francine Wein | A 28-year old female with a 1-year history of increasing proptosis, binocular vertical and horizontal diplopia associated with concomitant paresthesias and muscle weakness. Family history remarkable for Graves orbitopathy. |
| 1032 |
 |
Blood Less than Whole | Steven A. Newman, MD, University of Virginia School of Medicine | A 76-year old female with left eyelid difficulties. Previous history significant for diabetes and basal cell carcinoma. |
| 1033 |
 |
Blindness from Bad Bones | Nancy F. Vilar | A 5-year old male with jerking movements of all four limbs diagnosed as hypocalcemic seizures. |
| 1034 |
 |
Not the Usual Suspect | Andrew G. Lee | A 53-year old male with painless, blurred vision OU. Previous history significant for removal of a malignant melanoma from right forearm. |
| 1035 |
 |
A Sinusitis-Associated Optic Neuritis | Evoy, Francois | A 17-year old male with a 3-week history of headache Dx sinusitis Tx antibiotics. Worsening headache with progressive loss of vision OD. |
| 1036 |
 |
Cryptic Chiasmal Corruption | Roger E. Turbin, MD, Rutgers New Jersey Medical School | A 14-year old female with a 3-day history of a worsening severe right frontal headache, which intensified and became bilateral. Two days after headache onset she developed diffuse blur OD, more severe centrally, which worsened gradually. She reported questionable fleeting minimal blur OS. |
| 1037 |
 |
Cases presented at the NANOS 1998 Walsh Session | This document includes a wide variety of neuro-ophthalmic cases as presented to physicians at the Frank B. Walsh session during the Annual North American Neuro-Ophthalmology Society Meeting. Clinical cases are presented by neuro-ophthalmologists with comments by neuroradiologists, neuropathologists,... | |
| 1038 |
|
Index of cases presented at the NANOS 1998 Walsh Session | This document is an index of neuro-ophthalmic cases presented to physicians at the Frank B. Walsh session during the Annual North American Neuro-Ophthalmology Society Meeting. Clinical cases are presented by neuro-ophthalmologists with comments by neuroradiologists, neuropathologists, and other sele... | |
| 1039 |
 |
Apical Madness | Sophia M. Chung | A 73-year old female with a 5-day history of acute visual loss OD. Previous history significant for right-side pneumonia. |
| 1040 |
 |
I Don't Want Her, You Can Have Her - She's Too Tough for Me | Gregory S. Kosmarsky | A 14-year old female with a 4-month history of painless loss of vision. |
| 1041 |
 |
Ta-Ta for Now | Jeffrey L. Bennett | A 28-year old male diminished eye movements and altered mental status. Previous history significant for left orchiectomy for Stage 1 embryonal carcinoma. |
| 1042 |
 |
Progressive Neurologic Dysfunction and Optic Neuropathy | Nicholas J. Volpe, MD, Northwestern University | A 72-year old female with an acute onset of gait unsteadiness and leg weakness. |
| 1043 |
 |
Pseudo Pseudotumor Cerebri | Robyn J. Wolintz | A 29-year old female with a 1-month history of worsening headaches, transient visual obscurations and reduced visual acuity. |
| 1044 |
 |
Unilateral Progressive Visual Loss with Optic Disc Edema | Jennie U. Sung | A 59-year old male with a 3-week history of seeing shadows. Previous history significant for coronary artery disease. Family history remarkable for diabetes. |
| 1045 |
 |
Postpartum Visual Loss | Richard D. Stutzman | A 23-year old post-partum white female with a several month history of intermittent throbbing frontal headaches and blurred vision OU. Whooshing sound AU. |
| 1046 |
 |
A Hemorrhage and Hallucinations: AHAH! | Jacquelin Winterkorn | A 71-year old female with an excruciating left headache from forehead to occiput associated with a shadow over her right visual field. CT scan in the ER showed hemorrhage in the left occipital cortex. Previous history significant for endometrial carcinoma. |
| 1047 |
 |
The Plumber's Nightmare | Howard Savage | A 69-year old male with blurred vision OD, headache and significant loss of weight. Previous history significant for right carotid endarterctomy. |
| 1048 |
 |
A Black Eye and a Sore Lip | Michael S. Vaphiades, MD, University of Alabama | A 48-year old female with painful loss of vision OS associated with orbital pain and posterior neck pain. Previous history significant for joint pain and hypothyroidism |
| 1049 |
 |
Cord Confusion | Steven L. Galetta, MD, NYU Langone | A female with loss of vision OS |
| 1050 |
 |
An Unknown Chiasm Disturbance: Is This Lyme Disease? | Andracchi, Susan | A 51-year old female with a loss of vision OU over a 3-day period. Previous history significant for hyperthyroidism, dysthyroid orbitopathy and proptosis. |
| 1051 |
 |
Here, There and Everywhere | Guevara, Raul A. | A 32-year old male with a 2-month history of progressive left upper lid fullness, ptosis and blurred vision OS. |
| 1052 |
 |
Vision Loss after Aneurysm Repair: A Bad Rap | Kathryn M. Brady | A 68-year old female with acute, severe headache Dx subarachnoid hemorrhage and left paraophthalmic aneurysm Tx clipping and muslim wrap. Subjectively stable post-op until noted painless loss of vision OS. |
| 1053 |
 |
Visual Loss in a Man with Metastatic Melanoma | John W. Gittinger Jr. | A 59-year-old male with malignant melanoma, attendant loss of vision. |
| 1054 |
 |
The Ayes Have It | Ralph A. Sawyer | A 75-year old female with lack of visual improvement following cataract surgery OS. Previous history significant mastectomy ductal carcinoma-in-situ and migraine. |
| 1055 |
 |
A New Manifestation of Desert Storm Syndrome? | Kimberly A. Peele-Cockerham | A 45-year old male with decreased vision OS. Visual decline preceded by photopsias. Previous history significant for chemical and nuclear exposures. |
| 1056 |
 |
Cognitive and Visual Decline in a Diabetic Man | Barry J. McCasland | A 57-year old male with episodic headaches and confusion over a 5-month period. |
| 1057 |
 |
Slow Vertical Saccades in Motor Neuron Disease | Adriana Kori | A 54-year old female with a history of motor neuron disease. Four year prior to presentation progressive dysarthria and dysphagia required gastrostomy. |
| 1058 |
 |
Microbial Keratitis as the Presenting Manifestation of Neuro-Ophthalmologic Disease | Kirch Ingeborg | A 34-year old male with a 5-year history floppy eyelid syndrome manifesting as pain, redness, irritation and discomfort OU. Previous history significant for non-insulin-dependent diabetes and mild hypertension. |
| 1059 |
 |
Shooting Craps | Jeffrey Bennett | A 55-year old male with episodic confusion and monocular amaurosis. Previous history significant for coronary artery disease and hypertension. |
| 1060 |
 |
Blurred Vision in a 54-Year-Old Woman: Maladie de la Maison | Lea Averbuch-Heller | A 54-year old female with an inability to focus. 6 months prior to presentation she developed blurred vision. No abnormality noted save for frequent blinking. |
| 1061 |
 |
An Oculocerebral Nightmare | M. Tariq Bhatti, MD, Duke Health | A 16-year old male with decreased vision OD and posterior occipital headache. Previous history significant for acute lymphocytic leukemia treated with chemotherapy and autologous bone marrow transplant. |
| 1062 |
 |
Recurrent Cerebral Infarctions Associated with Fever | Valérie Biousse, MD Departments of Ophthalmology and Neurology, Emory University School of Medicine | A 38-year old male binocular visual symptoms. Previous history significant for chronic alcohol abuse. |
| 1063 |
 |
Serum Sickness and a Sixth Nerve Palsy | Laura J. Balcer, MD, Professor, Department of Neurology, NYU Langone | A 78-year old female with binocular horizontal diplopia, worse in right gaze and intermittent right frontal headache. Previous history significant for non-insulin-dependent diabetes mellitus, hypertension, hyperclosterolemia, arthritis, coronary artery disease and atrial fibrillation. Bilateral cata... |
| 1064 |
 |
Adolescence Revisited: Acne, Tummy Ache and Optic Neuritis in a Man Over Fifty | Aggarwal, Ashim | A 57-year old male with a 3-day history of increasing left eye pain and visual disturbance. |
| 1065 |
 |
A Most Atypical Exotropia | 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 Medicine | A 5 1/2-year old female with optic atrophy. Previous history significant for an exotropia at age three months which did not improve with patching. |
| 1066 |
 |
There is More Than Meets the Eye | Robyn J. Wolintz | A 78 year-old woman with acute left peri-ocular pain |
| 1067 |
 |
A Strange Case of the Flu | Charlotte R. Thompson | A 9-year old male with impaired vision OU and subsequent headache, back and neck pain. Previous history significant for a flu-like febrile illness shared with sibling. Family history remarkable for older sibling with Down syndrome. |
| 1068 |
 |
When you Least Expect It | Bruce W. Wilson, MD | A 48-year old male with loss of balance, headache, nausea, vertigo and dementia. |
| 1069 |
 |
I'll Be Seeing Ewe | Valérie Biousse, MD Departments of Ophthalmology and Neurology, Emory University School of Medicine | A 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. |
| 1070 |
 |
One More Cause for Optic Neuropathy | Ruth Huna-Baron, MD, The Goldschleger Eye Institute | A 45-year old male with a 4-week history of right-sided headache and progressive graying of vision OD. Previous history significant for HIV infection and subsequent Dx AIDS due to pneumocystic carinii pneumonia and pulmonary multi-drug resistant tuberculosis. |
| 1071 |
 |
Progressive Visual Loss, Disc Pallor, Gait Dysfunction, and Declining School Performance | Martin P. Kolsky | A 12-year old male with a several year history of bi-lateral loss of vision, slurred speech, gait disturbance and declining school performance. |
| 1072 |
 |
The Perils of a Sneeze | Francine Wein | A 51-year old female with severe left peri-orbital pain and visual loss following a sneeze 3 days earlier. Previous history significant for hypercholesterlemia, osteoporosis and depressive disorder. |
| 1073 |
 |
A Flu-Like Illness | Shirley H. Wray, MD, PhD, FRCP, Professor of Neurology Harvard Medical School, Director, Unit for Neurovisual Disorders, Massachusetts General Hospital | A 50-year old male with 5-month history of flu-like illness characterized by mild fevers, frequent chills, night sweats, sinus congestion and diffuse myalgias in chest, abdomen, legs and soles of the feet. Three days PTA awoke unable to open his right eye. Diplopia with eye open. Previous history s... |
| 1074 |
 |
Fatal Phentermine | Judith E. A. Warner, MD, Moran Eye Center, University of Utah | A 47-year old female with a sudden loss of vision and a dilated pupil. Previous history significant for a benign lung mass removed 26 years earlier. |
| 1075 |
 |
An Asynchronous Orbit | Steven A. Newman, MD, University of Virginia School of Medicine | A 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. |
| 1076 |
 |
A Patient with Painful Ophthalmoplegia | Kenneth D. Rappoport | An 80-year old male with left periorbital and temporal pain followed within one day by left ptosis and diplopia. Previous history significant for coronary artery disease, hypertension and abdominal aortic aneurysm. |
| 1077 |
 |
Where It Doesn't Belong | Misha Pless, Joseph Rizzo, Michael Joseph | A 64-year old male with a 2-year history of polycythemia rubra vera developed pain on the left side of his face. Over the next month the pain increased and the left side of his face became paralyzed. Diplopia and left-sided ptosis prompted neuro-ophthalmic referral. |
| 1078 |
 |
Vexing Vertigo | Cheryl L. Ray | A 50-year old female with a 5-day history of light-headedness, nausea, vomiting and double vision. Diplopia described as binocular and horizontal. |
| 1079 |
 |
Swimmer's Eye | Richard M. Rubin, Marilyn L. Slovak, Joyce L. Murata-Collins, Narsing Rao, Alfredo A. Sadun | A 14-year-old Vietnamese girl presented 9/18/95 with a complaint of dimming of vision, central scotoma and pain involving the right eye for 4 weeks. The patient attributed the onset to being hit in the right periorbital region by a passing swimmer 4 weeks before her presentation |
| 1080 |
 |
Index of cases presented at the NANOS 1997 Walsh Session | This document is an index of neuro-ophthalmic cases presented to physicians at the Frank B. Walsh session during the Annual North American Neuro-Ophthalmology Society Meeting. Clinical cases are presented by neuro-ophthalmologists with comments by neuroradiologists, neuropathologists, and other sele... | |
| 1081 |
|
Cases presented at the NANOS 1997 Walsh Session | This document includes a wide variety of neuro-ophthalmic cases as presented to physicians at the Frank B. Walsh session during the Annual North American Neuro-Ophthalmology Society Meeting. Clinical cases are presented by neuro-ophthalmologists with comments by neuroradiologists, neuropathologists,... | |
| 1082 |
 |
Suprasellar Mass in a Six Month Old Baby | Ruth Huna | A 1-month old female evaluated for progressive increase in head circumference. |
| 1083 |
 |
Saving Face | Michael S. Vaphiades, MD, University of Alabama | A 10-year old female with bilateral lower motor neuron facial palsies and decrease hearing AU. |
| 1084 |
 |
Not-So-Benign Paroxysmal Tonic Upgaze of Childhood | William A. Fletcher, MD, Departments of Clinical Neurosciences & Surgery, University of Calgary | A 4-month old male with episodic paroxysmal tonic upgaze first noted at four weeks. |
| 1085 |
 |
A Young Man with Giant Lesion | Colapinto, Edward V. | An 18-year old male with intermittent pancranial headache and visual blur of 1-1/2 months duration. Previous history significant for visual decrease secondary to congenital nystagmus. |
| 1086 |
 |
Bright Optic Nerves and Temporal Lobe Lesion | Paul H. Phillips, MD, University of Arkansas | A 40-year old male with bilateral loss of vision. Previous history significant for diabetes, hypertension and post-traumatic stress disorder. |
| 1087 |
 |
A Fourth Nerve Palsy in a Boy of 7 1/2 Years | Isla M. Williams | A 7 1/2-year old male with poor visual acuity. |
| 1088 |
 |
Optic Nerve Tumor in the 20 Year Old Female | Peter R. Bringewald | A 20-year old female with a 4-day history of decreased vision OS. |
| 1089 |
 |
Three Strikes and You're Out | Nicholas J. Volpe, MD, Northwestern University | A 42-year old female with painless loss of vision OD and eyelid swelling. Eight months previous treated with antibiotics for right eyelid swelling. Four months prior to presentation eyelid swelling associated with blurred vision treated with steroids. CT scan revealed orbital and optic nerve tumor. |
| 1090 |
 |
To Lose a Hunt, and Other Inflammatory Remarks | Benjamin M. Frishberg, MD | A 45-year old female with a 4-day history of acute loss of vision OS associated with a left peri-orbital headache. |
| 1091 |
 |
A Chiasm Too Fat To Function | Victoria Recio | A 46-year old male with a 3-month history of blurred vision OU and optic atrophy. |
| 1092 |
 |
Steroid Responsive Optic Neuropathy: The Case From Hell | Andrew F. Lee | A 36-year old pregnant female with a 2-month history of right facial pain, intermittent numbness of the cheek associated with global headache. |
| 1093 |
 |
Meningismus, Ocular Pain and Visual Loss in a Young Male | Lea Averbuch-Heller | A 20-year old male with headache, stiff neck, photophobia and blurred vision. |
| 1094 |
 |
Homonymous Hemianopia in a Young Woman | Deborah I. Friedman, MD, MPH, Professor, Neurology & Neurotherapeutics, University of Texas Southwestern | A 21-year old female with a right homonymous hemianopia. |
| 1095 |
 |
It AION't Necessarily So | Mark L. Moster, MD, Thomas Jefferson University | A 62-year old male with blurred vision OS. Previous history significant for pituitary adenoma with progressive loss of vision OS. |
| 1096 |
 |
Optic Neuritis Is What Ails Her | Forman, Scott | A 41-year old female with a 1-week history of monocular visual loss OS and associated pain with movement. Previous history significant for seizure and manic depressive disorder. |
| 1097 |
 |
TB or Not TB? That is the Question | Bafna, Shamik | A 65-year old female with a 1-month history of pain in the right forehead and peri-orbital region extending to the right occiput and cataract OD. Previous history significant for non-insulin-dependent diabetes mellitus and hypertension. |
| 1098 |
 |
Pseudo-Pseudotumor Cerebri To Be Blunt About It | Ellis, Brian D. | A 52-year old male with a 2-month history of occipital headache. |
| 1099 |
 |
A Case That Just Could Not Be Read | Norah S. Lincoff MD, University at Buffalo | A 50-year old male unable to read for one month. Previous history significant for HIV, Bell palsy and herpes zoster. |
| 1100 |
 |
Another Oddity!! | Eneyni, Mazen | A 36-year old female with a 2-month history of gradual decreasing vision OD. Previous history significant for same symptoms 9 years earlier. |