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1201 When Up and Out Means Down and OutSusan M. KsiazekA 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.
1202 Acute Third Nerve Palsy in a Malformed DwarfNicholas J. Volpe, MD, Northwestern UniversityA 28-year old male with headache and ptosis. Previous history significant for physical abnormalities and seizures consistent with an underlying heritable syndrome.
1203 Persistent Left Eye PainShirley H. Wray, MD, PhD, FRCP, Professor of Neurology Harvard Medical School, Director, Unit for Neurovisual Disorders, Massachusetts General HospitalA 38-year old female with migraine headaches and pain behind the left eye; occasional diplopia and seeing images described as move horizontally apart.
1204 A Blinding Biopsy?Paul Riordan-EvaA 28-year old make with a 5-month history of temporal lobe seizures with more recent confusion, memory loss and drowsiness.
1205 Lacrimal Lumpy in a LadyIppolit C. A. MatjuchaA 21-year old female with a left peri-orbital mass. A systemic syndrome consisting of fatigue, pharyngitis, gastrointestinal distress, myalgias and low-grade fever, subsequently diagnosed as mononucleosis also noted.
1206 Retrinochoroiditis in a 73 Year Old ManR. L. TomaskA 73-year old male with a painless loss of vision OS.
1207 Painful Ophthalmoplegia in a 74 Year Old FemaleJames L. Johnston Jr.A 74-year old female with diplopia worse on left gaze and accompanying retro-orbital pain OS.
1208 Another Mental CaseNancy J. Newman, MD, Emory Eye CenterA 58-year old male with numbness and pain on the right side of the chin, right hand weakness and diplopia. Previous history significant for orthototic liver transplantation complicated by perforation of small bowel.
1209 Supranuclear Gaze Palsy with Facial and Ocular MovementsWayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of MichiganA 45-year old male with progressive neurologic deficits, left facial pain, insomnia and hypersomnolence. Previous history significant for rheumatoid arthritis.
1210 Ocular Myasthenia with Malignant MyoclonusCraig H. Smith, MD, Swedish Medical Center, Cherry HillA 33-year old female with a 6-week history of vertigo and diplopia. Previous history significant for a polyarthralgias and patchy dysesthetic sensations involving the chest, abdomen and left knee.
1211 One Side Too ManyMark J. MorrowA 50-year old male with a 4-day history of bilateral facial and eyelid drooping accompanied by difficulty chewing and swallowing. Previous history significant for a Dx Ocular and pulmonary sarcoidosis and a 4-year history of hypertension and diabetes.
1212 A Rightward Outlook on LifeGabel, Ellen F.A 42-year old male with a painless vertical diplopia, a progressive gait difficulty with a tendency to fall to the right.
1213 Homonymous Field Defect in a HIV Negative at Risk IndividualFloyd A. WarrenA 33-year old male with a 1-month history of progressive loss of color vision and sudden dimming of vision over a 2-day duration.
1214 Time's a Wastin'Neil R. MillerA 64-year old female with an 8-month history of double vision.
1215 Pericardial-Pleural Effusion, Ocular Protrusion, ConfusionIrma M. LessellA 68-year old male with bilateral proptosis, dim, blurred vision and transient obscuration of vision with diplopia OS. Previous history significant for diabetes insipidus and problems with postural balance.
1216 Visual Loss and Papilledema: An Ancient Concept RevisitedDonna BurrowsA 25-year old male with a progressive loss of vision OU and decreased hearing AS.
1217 Déjà Vu All Over AgainJames R. Keane, MD, University of Southern California Medical CenterA 25-year old female with a 1-month history of headache, blurred vision, intermittent dragging of the left leg, and a reversal of personality from demure to jocular and flippant.
1218 4-H ClubJacqueline Winterkorn, MD, PhD (1947-2015), Clinical Professor, Department of Ophthalmlogy, Weill Cornell MedicineA 40-year old female with a 3-week history of progressive, worsening occipital headache, nausea and vomiting. When headache most severe, associated with spots in front of the eyes and self-described electrical lines. Previous history significant for oligomenorrhea.
1219 Bilateral Visual Loss Associated with Increased Intracranial Pressure, Multiple MRI Lesions, and Rapid DemiseBarrett, Debra A.A 44-year old male with a 2-week history of painless loss of vission OU.
1220 Not Your Everyday Diabetic RetinopathyForman, LarryA 46-year old female with disc edema OU. Previous history significant for obesity, insulin-dependent diabetes mellitus and hypertension.
1221 Neurofibromatosis, Visual Loss, and Cerebellar TonsillitisThomas C. Spoor, MD, Sarasota Retina InstituteA 16-year old female with a sudden loss of vision to bare light perception OD. Previous history significant for von Recklinghausen's neurofibromatosis (VRNF) for which she was treated with VP shunt to relieve intracranial pressure.
1222 Unusual Painful Thrid Nerve PalsyAndrew W. LawtonA 50-year old male with vertical double vision, a constant, mild, dull ache behind his left eye accompanied by intermittent left temporal headache.
1223 Visual Loss in AIDS Patient with RetinopathyMatthew D. KayA 37-year old male a 1-day history of decreased vision OD who previously had been hospitalized with AIDS and a past ocular history of Pneumocvstis carinii choroiditis and cytomegalovirus retinitis.
1224 Diplopia and Intracranial Bleed in an Intelligent Elderly LadyEdward M. CohnA 75-year old female with headache and vertical diplopia.
1225 Neuro-Ophthalmology -- By DefinitionPeter J. SavinoA 70-year old male with an 8-week history of diplopia, balance difficulties and episodic lightheadedness.
1226 The Plump PituitaryMichael L. SlavinA 43-year old female with a 3-week history of decreased bilateral vision, left > right Previous history significant for reconstructive transsphenoidal surgery.
1227 A Central ProblemSteven A. Newman, MD, University of Virginia School of MedicineA 17-year old female with throbbing headache lasting half day of increasing in frequency and severity associated with the onset of transient visual obscurations aggravated by bright lights. Subsequent development of nausea and vomiting, particularly at night, with onset of horizontal diplopia.
1228 Trigeminal TicklerSylvia R. KodsiA 40-year old male with decreasing vision OS. Previous history significant for papillary thyroid carcinoma and sinus surgery.
1229 Hypothyroidism and Progressive Visual LossKenneth W. HouchinA 48-year old male with 2-month history of intermittent 30-second loss of vision OU.
1230 Cases presented at the NANOS 1992 Walsh SessionThis 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,...
1231 Optic Neuropathy in Hodgkin's LymphonmaR. Michael SiatkowskiA 24-year old man presented with an acute loss of vision OS.
1232 Index of cases presented at the NANOS 1992 Walsh SessionThis 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...
1233 Flight of Vision and Flight of Ideas: Transient Visual Obscurations and SchizophreniaHardten, David R.A 15-year old female with a 6-month history of pressure in her eyes and a 1-month history of transient visual obscurations. Previous history significant for paranoid schizophrenia controlled with antipsychotic agents.
1234 Orbital Apex Mass Associated with Visual Blurring, Proptosis, and and Afferent Pupil DefectBednar, Martin M.A 55-year old male with blurred vision OD. Previous history significant for a distant ipsilateral closed-head and right-sided facial injury.
1235 Painful Ophthalmoplegia - Much More Then Meets the EyeDeborah I. Friedman, MD, MPH, Professor, Neurology & Neurotherapeutics, University of Texas SouthwesternA 42-year old female with proptosis, blurred vision, painful ophthalmoplegia OD and headache. Previous history significant for left ptosis 8 years prior that resolved spontaneously.
1236 The Pale Nerve in Apert's SyndromeMark S. Borchert, MD, University of Southern CaliforniaAn 82-day old girl was referred for evaluation. Born at 31 weeks gestation, weight 1910 gram. Marked midfacial hypoplasia, syndactyly, patent ductus arteriosus, and ventricular septal defect Dx: Apert's syndrome.
1237 A Progressive Cavernous Sinus Syndrome in a Young WomanMark L. Moster, MD, Thomas Jefferson UniversityA 37-year old female with horizontal binocular diplopia and left supra-orbital pain.
1238 Painful External Ophthalmoplegia in a 15-Year OldWayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of MichiganA 15-year old male with a 2-month history of pain and binocular diplopia on gaze in any direction.
1239 Isolated VI Nerve RevisitedFloyd A. WarrenA 31-year old female with a 2-week history of diplopia.
1240 To See or To Biopsy?Michael L. SlavinA 65-year old male with left-sided headache and brow-ache. Previous history significant for diplopia and III nerve palsy.
1241 All in the FamilySteven A. Newman, MD, University of Virginia School of MedicineA 35-year old male with painless, decreasing visual acuity.
1242 Graver Grave's OphthalmopathySusan C. BenesA 54-year old female with intermittent eyelid swelling of the upper and lower lids.
1243 Expanding the ConceptKarl C. GolnikA 57-year old male with lethargy and depression, decreasing vision and diplopia.
1244 Recurrent Bilateral Retrobulbar Neuritis and Separate Unilateral Orbital MassesJoel G. Sacks, Dwight R. Kulwin, Edward M. BaronA 35-year old white woman with a history of repeated attacks of visual loss and a mass in the left orbit.
1245 Acute Visual Loss in a 19 Year Old MaleLee ShettleA 19-year old male with a sudden loss of vision OD with severe retro-orbital eye pain, frontal headache, nausea and vomiting.
1246 Lethargy and Visual Loss in a ChildJonathan SilbigerA 5-year-old female with left eye pain.
1247 Another Cause of PapilledemaGussler, Joseph R.A 28-year old male with headache and declining vision.
1248 Contralateral Optic Neuropathy Flollowing Adenoid Cystic CarcinomaNancy J. Newman, MD, Emory Eye CenterA 44-year old female with painless, progressive loss of vision OD over a 2-week period. Previous history significant for thyroidectomy for removal of a benign nodule, tonsillectomy, appendectomy, two cesarean sections and heart arrhythmia. Prior to presentation, a diagnosis of adenoid carcinoma of t...
1249 Progressive Cortical BlindnessJacqueline Winterkorn, MD, PhD (1947-2015), Clinical Professor, Department of Ophthalmlogy, Weill Cornell MedicineA 68-year old female with a 6-month history of progressive loss of vision.
1250 Death From Recurrent? Neuromyelitis Optica?Joel M. Weinstein, MDA 7-year old male with bilateral leg weakness and loss of vision OS.
1251 Pseudotumor Cerebri ReconsideredHamilton, SteveA 12-year old female who was one of fraternal twins whose mother was a narcotics addict. At 3 months surgery performed to correct lambdoidal craniosynostosis. At 11 amblyopia note.
1252 Visual Loss Following Craniotomy for Obstructive HydrocephalusRobert F. Saul, MD, Virginia Tech CarilionA 30-year old female with bilateral loss of vision associated with position change; Headache
1253 Cases presented at the NANOS 1991 Walsh SessionThis 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,...
1254 MR Diagnosis of a Cerebellar MassSophia M. ChungA 38-year old male with transient obscurations OD occurring several times a day with subsequent similar involvement OS. Physical examination significant for enlarged head size.
1255 Pediatric Pseudotumor Cerebri?Mitchell J. WolinA 4-year old male with papilledema and a 2-week history of nausea and vomiting.
1256 Acromegaly with Visual LossJoseph F. RizzoA 56-year old man with protruding right eye. Previous history significant for kidney calculi.
1257 Chiasmal ConfusionLanning B. KlineA 28-year-old male with a 1-month history of blurred vision OU.
1258 Miotic Pupils, Harizontal Gaze Palsy, Alternating Skew, Asymmetric Bobbing and Infiltrating Mononuclear CellsMartin P. KolskyA 4-year old male with abnormal eye movements. Previous history significant for a 3-month history of scalp rash, polyuria-polydypsia and failure to thrive associated with hepatomegaly, lymphadenopathy and lytic bone lesions.
1259 Horner's Syndrome: Unusual Etiology and Interesting ImagingPatrick J. SweeneyA 57-year old male with paresthesias, frontal orbital headache and dizziness.
1260 An Eccentric LesionEric L. BermanA 46-year old female with a 2 1/2-year history of decreased vision OD associated with proptosis. Intermittent shooting pains OD of 5-10 minute duration.
1261 You Can Teach a New Dog Old TricksNeil R. Miller, MD, Professor of Ophthalmology, Johns Hopkins UniversityA 27-year old female with a sudden onset of vertical diplopia unassociated with nausea, vomiting, dizziness or headache and left hypertropia. Previous history significant for Ollier disease.
1262 I Can't See, That's What Bugs Me!James A. GarrityA 34-year old male with proqressively severe bilateral retrobulbar headaches, visual blurring, papilledema and horizontal diplopia. Previous history significant for HIV.
1263 Paralysis of Down-Gaze in a Familial Progressive EncephalopathyA. Charles WinkelmanA 42-year old female with an inability to initiate downward eye movements. Previous history significant for ataxic gait, slurred speech and slowed mentation and psychosis. Family history remarkable for siblings exhibiting similar symptoms.
1264 Index of cases presented at the NANOS 1991 Walsh SessionThis 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...
1265 Progressive Cavernous Sinus SyndromeBrain T. PerkovichA 64-year old female with a 1-month history of binocular, horizontal diplopia.
1266 Post-Partum Visual LossSam Abdul-RahimA 30-year old primigravida delivered a healthy female neonate after a 36-week gestation complicated only by bi-temporal throbbing headaches the week before delivery. One week post-partum she noted blurred distance vision and decreased left peripheral vision. Over the next three weeks she experienc...
1267 Enigma of the Maxillary NerveDeborah I. Friedman, MD, MPH, Professor, Neurology & Neurotherapeutics, University of Texas SouthwesternA 58-year old female with numbness and pain in the right nostril.
1268 An Unusual Cause of Isolated Third Nerve Palsy in an InfantBarbas, Nancy R.A 9-month old male with drooping ptosis and limitation of movement OD.
1269 A Slowly Evolving Cavernous Sinus SyndromeBenjamin, Eugene E.A 45-year old male with ptosis and anisocoria. Previous history significant for a severe flu-like illness with cough and associated loss of weight.
1270 Left Eye Proptosis and Decreased Vision Bilaterally in a 5 Year Old BoyChrousos, Georgia A.A 5-year old male with declining vision.
1271 Coma with Ophthalmoplegia in the Setting of an Evaluation for Weight LossMark L. Moster, MD, Thomas Jefferson UniversityA 45-year old diabetic female with weight loss and a Dx lipodystrophy. Family history significant for a 44-year old brother with diabetes.
1272 Tolosa-Hunt or Not Tolosa-Hunt, That is the QuestionWilliam A. Fletcher, MD, Departments of Clinical Neurosciences & Surgery, University of CalgaryA 61-year old female with a 3 1/2-year history of recurrent ophthalmoplegia and facial pain.
1273 Cranial Neuropathy and Visual LossRobert 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 MedicineA 59-year old male with a left VI palsy. Previous history significant for myalgia, sore throat and malaise.
1274 Visual Loss, Ophthalmoplegia, and Facial Pain in a Man With Squamous Cell Carcinoma of the MouthRobert F. Saul, MD, Virginia Tech CarilionA 43-year old male with squamous cell carcinoma and a previous Dx leukoplakia.
1275 2 Plus 12 = ?Jacqueline Winterkorn, MD, PhD (1947-2015), Clinical Professor, Department of Ophthalmlogy, Weill Cornell MedicineAn 8-year old female with decreased a 1-month history of decreased vision OD. Previous history significant progressive dysarthria, headache, stiff nick, fatigue, nose bleeds and a recent 10-pound weight loss.
1276 Orbital Granulomas: A Unique Presentation of B-Cell Immuno-deficiencyLanning B. KlineA 62-year old female with bi-lateral peri-orbital edema. Physical exam revealed cervical lymphadenopathy.
1277 Double TroubleIvor S. LevyAn 18-year old male with diplopia and tearing OS.
1278 Unusual Pituitary Tumor Production a Chiasmal SyndromeCharles E. MaxnerA 39-year old female with headache and bilateral loss of vision.
1279 Complete Ophthalmoplegia and SomnolenceRobert W. LoranceA 72-year old female with somnolence and ophthalmoplegia.
1280 Sustained Upgaze in ComaStephen E. ThurstonA 70-year old male with a history of diabetes and severe coronary artery disease underwent quadruple coronary artery bypass grafting. One hour post-operative the patient developed massive arterial bleeding from his drainage tube became hypotensive. After emergency repair of loose aortic anastomosi...
1281 When is a Stroke Not a Stroke?Deborah I. Friedman, MD, MPH, Professor, Neurology & Neurotherapeutics, University of Texas SouthwesternA 60-year old male with a 2-week history of binocular, horizontal diplopia, tinnitus, vertigo, urinary retention and increased right-sided weakness. Previous history significant for syphilis and aspirin-induced bleeding gastric ulcer.
1282 Headache, Mental Neuropathy and VIth Nerve PalsiesNancy J. Newman, MD, Emory Eye CenterA 37-year old female with severe, recurrent headache and left chin numbness.
1283 Cases presented at the NANOS 1989 Walsh SessionThis 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,...
1284 Index of cases presented at the NANOS 1989 Walsh SessionThis 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...
1285 An Atypical Pseudotumor Cerebri SyndromeWarren L. Felton IIIA 21-year old male with a sudden loss of vision OD preceded by a 5-month history of modestly severe headache.
1286 Optic Nerve Meningioma with Venous Shunts of the Optic Nerve HeadGreen, W. RichardAn 80-year old white female with optic disc swelling OD.
1287 Facial Numbness, Optic Neuritis, Diplopia, and ProptosisMartin P. KolskyA 40-year old female with painful right-sided visual loss, diplopia, ptosis, facial numbness and proptosis.
1288 Uveitis, Diabetes, Insipidus, Pneumonia and Peripheral Neuropathy in an Eight Year Old BoyElizabeth C. DoolingAn 8-year old male with with fever, polyuria, polydipsia, nocturia, progressive lethargy and gait distubances.
1289 Papilledema and Phantom Lesions in CTTulay KansuA 23-year male with a 10-day history of frontal headache and 3-month experience of fatigue and anorexia.
1290 A Brain Stem SyndromeBruce W. Wilson, MDA 41-year old male with diplopia, nystagmus and facial weakness. Previous history for MI, right carotid stenosis and left vertebral stenosis.
1291 A 70 Year Old Man with Palinopsia and Visual Field DefectValerie A. Purvin, MD, Indiana UniversityA 70-year old male with visual disturbances and hallucinations over a 4-week period.
1292 Index of cases presented at the NANOS 1988 Walsh SessionThis 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...
1293 Cases presented at the NANOS 1988 Walsh SessionThis 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,...
1294 An Unusual Presentation of an Optic Nerve LesionIsaac GutmanA 54-year old male with left periorbital pain and ipsilateral loss of vision.
1295 Pseudotumor Cerebri in a ChildFrohman, Larry P.A 9-year old female with a 6-week history of lethargy, a month of anorexia, post-prandial vomiting, persistent headache and two weeks of fevers of 102-103 degrees Fahrenheit. Previous history significant for frequent nosebleeds.
1296 The Case of Downbeating NystagmusGuy, John R.A 58-year old female with a 2-week history of nausea, vomiting, vertigo and ataxic gait.
1297 Complex Visual Hallucinations in an Elderly ManMark S. Borchert, MD, University of Southern CaliforniaAn 83-year old male with visual hallucinations and a change in personality. Previous history significant for surgically treat colonic neoplasm, MI, cataract extraction OD, III nerve palsy, diabetes mellitus, peripheral neuropathy and cardiomegaly with mitral regurgitation.
1298 Acute Visual Loss in a Woman with Metastatic Breast CarcinomaJoel M. Weinstein, 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...
1299 Bromocriptine Resistant Pituitary TumorRobert 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 MedicineA 41-year old male with blurred vision OS and right occipital headache. Previous history significant for pituitary adenoma which was surgically resected.
1300 Optic Nerve CorpulenceMarc H. LevyA 68-year old female with loss of central and peripheral vision OU, headache and bilateral inferior conjunctival swelling. Previous history significant for hypothyroidism and iron-deficiency anemia.
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