|
|
Title | Creator | History |
1201 |
|
When Up and Out Means Down and Out | Susan M. Ksiazek | A 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 Dwarf | Nicholas J. Volpe, MD, Northwestern University | A 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 Pain | Shirley H. Wray, MD, PhD, FRCP, Professor of Neurology Harvard Medical School, Director, Unit for Neurovisual Disorders, Massachusetts General Hospital | A 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-Eva | A 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 Lady | Ippolit C. A. Matjucha | A 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 Man | R. L. Tomask | A 73-year old male with a painless loss of vision OS. |
1207 |
|
Painful Ophthalmoplegia in a 74 Year Old Female | James L. Johnston Jr. | A 74-year old female with diplopia worse on left gaze and accompanying retro-orbital pain OS. |
1208 |
|
Another Mental Case | Nancy J. Newman, MD, Emory Eye Center | A 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 Movements | Wayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of Michigan | A 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 Myoclonus | Craig H. Smith, MD, Swedish Medical Center, Cherry Hill | A 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 Many | Mark J. Morrow | A 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 Life | Gabel, 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 Individual | Floyd A. Warren | A 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. Miller | A 64-year old female with an 8-month history of double vision. |
1215 |
|
Pericardial-Pleural Effusion, Ocular Protrusion, Confusion | Irma M. Lessell | A 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 Revisited | Donna Burrows | A 25-year old male with a progressive loss of vision OU and decreased hearing AS. |
1217 |
|
Déjà Vu All Over Again | James R. Keane, MD, University of Southern California Medical Center | A 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 Club | Jacqueline Winterkorn, MD, PhD (1947-2015), Clinical Professor, Department of Ophthalmlogy, Weill Cornell Medicine | A 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 Demise | Barrett, Debra A. | A 44-year old male with a 2-week history of painless loss of vission OU. |
1220 |
|
Not Your Everyday Diabetic Retinopathy | Forman, Larry | A 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 Tonsillitis | Thomas C. Spoor, MD, Sarasota Retina Institute | A 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 Palsy | Andrew W. Lawton | A 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 Retinopathy | Matthew D. Kay | A 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 Lady | Edward M. Cohn | A 75-year old female with headache and vertical diplopia. |
1225 |
|
Neuro-Ophthalmology -- By Definition | Peter J. Savino | A 70-year old male with an 8-week history of diplopia, balance difficulties and episodic lightheadedness. |
1226 |
|
The Plump Pituitary | Michael L. Slavin | A 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 Problem | Steven A. Newman, MD, University of Virginia School of Medicine | A 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 Tickler | Sylvia R. Kodsi | A 40-year old male with decreasing vision OS. Previous history significant for papillary thyroid carcinoma and sinus surgery. |
1229 |
|
Hypothyroidism and Progressive Visual Loss | Kenneth W. Houchin | A 48-year old male with 2-month history of intermittent 30-second loss of vision OU. |
1230 |
|
Cases presented at the NANOS 1992 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,... |
1231 |
|
Optic Neuropathy in Hodgkin's Lymphonma | R. Michael Siatkowski | A 24-year old man presented with an acute loss of vision OS. |
1232 |
|
Index of cases presented at the NANOS 1992 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... |
1233 |
|
Flight of Vision and Flight of Ideas: Transient Visual Obscurations and Schizophrenia | Hardten, 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 Defect | Bednar, 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 Eye | Deborah I. Friedman, MD, MPH, Professor, Neurology & Neurotherapeutics, University of Texas Southwestern | A 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 Syndrome | Mark S. Borchert, MD, University of Southern California | An 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 Woman | Mark L. Moster, MD, Thomas Jefferson University | A 37-year old female with horizontal binocular diplopia and left supra-orbital pain. |
1238 |
|
Painful External Ophthalmoplegia in a 15-Year Old | Wayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of Michigan | A 15-year old male with a 2-month history of pain and binocular diplopia on gaze in any direction. |
1239 |
|
Isolated VI Nerve Revisited | Floyd A. Warren | A 31-year old female with a 2-week history of diplopia. |
1240 |
|
To See or To Biopsy? | Michael L. Slavin | A 65-year old male with left-sided headache and brow-ache. Previous history significant for diplopia and III nerve palsy. |
1241 |
|
All in the Family | Steven A. Newman, MD, University of Virginia School of Medicine | A 35-year old male with painless, decreasing visual acuity. |
1242 |
|
Graver Grave's Ophthalmopathy | Susan C. Benes | A 54-year old female with intermittent eyelid swelling of the upper and lower lids. |
1243 |
|
Expanding the Concept | Karl C. Golnik | A 57-year old male with lethargy and depression, decreasing vision and diplopia. |
1244 |
|
Recurrent Bilateral Retrobulbar Neuritis and Separate Unilateral Orbital Masses | Joel G. Sacks, Dwight R. Kulwin, Edward M. Baron | A 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 Male | Lee Shettle | A 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 Child | Jonathan Silbiger | A 5-year-old female with left eye pain. |
1247 |
|
Another Cause of Papilledema | Gussler, Joseph R. | A 28-year old male with headache and declining vision. |
1248 |
|
Contralateral Optic Neuropathy Flollowing Adenoid Cystic Carcinoma | Nancy J. Newman, MD, Emory Eye Center | A 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 Blindness | Jacqueline Winterkorn, MD, PhD (1947-2015), Clinical Professor, Department of Ophthalmlogy, Weill Cornell Medicine | A 68-year old female with a 6-month history of progressive loss of vision. |
1250 |
|
Death From Recurrent? Neuromyelitis Optica? | Joel M. Weinstein, MD | A 7-year old male with bilateral leg weakness and loss of vision OS. |
1251 |
|
Pseudotumor Cerebri Reconsidered | Hamilton, Steve | A 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 Hydrocephalus | Robert F. Saul, MD, Virginia Tech Carilion | A 30-year old female with bilateral loss of vision associated with position change; Headache |
1253 |
|
Cases presented at the NANOS 1991 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,... |
1254 |
|
MR Diagnosis of a Cerebellar Mass | Sophia M. Chung | A 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. Wolin | A 4-year old male with papilledema and a 2-week history of nausea and vomiting. |
1256 |
|
Acromegaly with Visual Loss | Joseph F. Rizzo | A 56-year old man with protruding right eye. Previous history significant for kidney calculi. |
1257 |
|
Chiasmal Confusion | Lanning B. Kline | A 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 Cells | Martin P. Kolsky | A 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 Imaging | Patrick J. Sweeney | A 57-year old male with paresthesias, frontal orbital headache and dizziness. |
1260 |
|
An Eccentric Lesion | Eric L. Berman | A 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 Tricks | Neil R. Miller, MD, Professor of Ophthalmology, Johns Hopkins University | A 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. Garrity | A 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 Encephalopathy | A. Charles Winkelman | A 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 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... |
1265 |
|
Progressive Cavernous Sinus Syndrome | Brain T. Perkovich | A 64-year old female with a 1-month history of binocular, horizontal diplopia. |
1266 |
|
Post-Partum Visual Loss | Sam Abdul-Rahim | A 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 Nerve | Deborah I. Friedman, MD, MPH, Professor, Neurology & Neurotherapeutics, University of Texas Southwestern | A 58-year old female with numbness and pain in the right nostril. |
1268 |
|
An Unusual Cause of Isolated Third Nerve Palsy in an Infant | Barbas, Nancy R. | A 9-month old male with drooping ptosis and limitation of movement OD. |
1269 |
|
A Slowly Evolving Cavernous Sinus Syndrome | Benjamin, 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 Boy | Chrousos, Georgia A. | A 5-year old male with declining vision. |
1271 |
|
Coma with Ophthalmoplegia in the Setting of an Evaluation for Weight Loss | Mark L. Moster, MD, Thomas Jefferson University | A 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 Question | William A. Fletcher, MD, Departments of Clinical Neurosciences & Surgery, University of Calgary | A 61-year old female with a 3 1/2-year history of recurrent ophthalmoplegia and facial pain. |
1273 |
|
Cranial Neuropathy and Visual Loss | 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 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 Mouth | Robert F. Saul, MD, Virginia Tech Carilion | A 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 Medicine | An 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-deficiency | Lanning B. Kline | A 62-year old female with bi-lateral peri-orbital edema. Physical exam revealed cervical lymphadenopathy. |
1277 |
|
Double Trouble | Ivor S. Levy | An 18-year old male with diplopia and tearing OS. |
1278 |
|
Unusual Pituitary Tumor Production a Chiasmal Syndrome | Charles E. Maxner | A 39-year old female with headache and bilateral loss of vision. |
1279 |
|
Complete Ophthalmoplegia and Somnolence | Robert W. Lorance | A 72-year old female with somnolence and ophthalmoplegia. |
1280 |
|
Sustained Upgaze in Coma | Stephen E. Thurston | A 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 Southwestern | A 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 Palsies | Nancy J. Newman, MD, Emory Eye Center | A 37-year old female with severe, recurrent headache and left chin numbness. |
1283 |
|
Cases presented at the NANOS 1989 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,... |
1284 |
|
Index of cases presented at the NANOS 1989 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... |
1285 |
|
An Atypical Pseudotumor Cerebri Syndrome | Warren L. Felton III | A 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 Head | Green, W. Richard | An 80-year old white female with optic disc swelling OD. |
1287 |
|
Facial Numbness, Optic Neuritis, Diplopia, and Proptosis | Martin P. Kolsky | A 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 Boy | Elizabeth C. Dooling | An 8-year old male with with fever, polyuria, polydipsia, nocturia, progressive lethargy and gait distubances. |
1289 |
|
Papilledema and Phantom Lesions in CT | Tulay Kansu | A 23-year male with a 10-day history of frontal headache and 3-month experience of fatigue and anorexia. |
1290 |
|
A Brain Stem Syndrome | Bruce W. Wilson, MD | A 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 Defect | Valerie A. Purvin, MD, Indiana University | A 70-year old male with visual disturbances and hallucinations over a 4-week period. |
1292 |
|
Index of cases presented at the NANOS 1988 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... |
1293 |
|
Cases presented at the NANOS 1988 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,... |
1294 |
|
An Unusual Presentation of an Optic Nerve Lesion | Isaac Gutman | A 54-year old male with left periorbital pain and ipsilateral loss of vision. |
1295 |
|
Pseudotumor Cerebri in a Child | Frohman, 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 Nystagmus | Guy, 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 Man | Mark S. Borchert, MD, University of Southern California | An 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 Carcinoma | Joel M. Weinstein, MD | A 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 Tumor | 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 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 Corpulence | Marc H. Levy | A 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. |