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351 Ataxia at the Masquerade BallKrista I. Kinard; Alison V. Crum; Judith E. Warner; Bradley J. Katz; Joshua A. Sonnen; Cheryl A. Palmer; Anne G. Osborn; L. Dana DeWitt; Kathleen B. DigreA 52-year-old right-handed salesman presented in July 2007 with a 5-year history of slowly progressive imbalance. In 2002 he developed difficulty using his eyes together and then imbalance resulting in frequent backward falls. He reported oscillopsia and episodic vertigo. He later developed fatigue,...
352 Ataxia at the Masquerade BallKrista I. Kinard; Alison V. Crum; Judith E. Warner; Bradley J. Katz; Joshua A. Sonnen; Cheryl A. Palmer; Anne G. Osborn; L. Dana DeWitt; Kathleen B. DigreA 52-year-old right-handed salesman presented in July 2007 with a 5-year history of slowly progressive imbalance. In 2002 he developed difficulty using his eyes together and then imbalance resulting in frequent backward falls. He reported oscillopsia and episodic vertigo. He later developed fatigue,...
353 Fire and IceMary Maher; Joah Aliancy; Gul Moonis; Angela Lignelli; Michael Kazim; Jeffrey OdelA 14 year-old boy, with ADHD on amphetamine and dextroamphetamine, presented with headache and bilateral decreased vision. Seven days prior, he began experiencing bilateral non-positional frontal headache unresponsive to NSAIDS that did not wake him from sleep. Five days prior, he felt fatigued and ...
354 Lights OutJohn J. Brinkley; John J. Chen; Patricia A. Kirby; Reid A. Longmuir; Matthew J. ThurtellA 78 year-old man presented with a one-month history of progressive painless binocular vision loss. Hehad sustained head trauma without loss of consciousness three days prior to the onset of vision loss. Onthe morning of his presentation to us, he had awoken with complete binocular vision loss and h...
355 The Nidus of the NeuropathyHeather McDonald; Adrian Budhram; J. Alexander Fraser; Lulu LCD BursztynA 57-year-old female presented with a one-year history of paresthesias, gait instability, slurred speech, peripheral; numbness, and fatigue. A non-contrast CT Head showed lower density in the corpus callosum. Follow-up MR Head showed; T2/FLAIR hyperintensity and diffusion restriction in the splenium...
356 A Difficult Bug to SwallowKenneth Lao; Blake A. Isernhagen; R. Michael SiatkowskiNon-insulin dependent diabetes mellitus, hypertension, and a right ventricular thrombus.
357 A Lesion of the Pineal RegionWayne Shtybel, MD; Maurice Hanson, MD; Janet Bay, MD; Melinda Estes, MD; Patrick J. Sweeney, MD; Robert Tomsak, MDA 19-year old female with a 3-week history of headache, lethargy and visual disturbance. Previous history significant for jugular shunt for idiopathic hydrocephalus, later revised with ventriculoperitoneal shunt.
358 Cerebroretinal Microangiopathy with Calcification and Cysts in a Young Man-A Recently Described SyndromePari Shams; Ata Siddiqui; Lisa Scoppetuolo; Dominic Parviour; Moin Mohamed; Gordon PlantA 24-year old male with a 2-month history of floaters affecting the left eye. Previous history significant for bilateral retinal vasculitis, migraine and complications of intrauterine growth retardation.
359 Cerebroretinal Microangiopathy with Calcification and Cysts in a Young Man-A Recently Described Syndrome (Audio)Pari Shams; Ata Siddiqui; Lisa Scoppetuolo; Dominic Parviour; Moin Mohamed; Gordon PlantA 24-year old male with a 2-month history of floaters affecting the left eye. Previous history significant for bilateral retinal vasculitis, migraine and complications of intrauterine growth retardation.
360 Cerebroretinal Microangiopathy with Calcification and Cysts in a Young Man-A Recently Described Syndrome (PowerPoint)Pari Shams; Ata Siddiqui; Lisa Scoppetuolo; Dominic Parviour; Moin Mohamed; Gordon PlantA 24-year old male with a 2-month history of floaters affecting the left eye. Previous history significant for bilateral retinal vasculitis, migraine and complications of intrauterine growth retardation.
361 Get Me Out of Here; It's Too CrowdedMelissa Wang-Ko; Madhura Tamhankar; Nicholas Volpe; Steven Galetta; David Porter; Cindy McGrathA 54-year old female with 6-week history of progressive deteriorating vision OU, headache and pain associated with eye movement. Previous history significant for multiple sclerosis.
362 Get Me Out of Here; It's Too Crowded (PowerPoint)Melissa Wang-Ko; Madhura Tamhankar; Nicholas Volpe; Steven Galetta; David Porter; Cindy McGrathA 54-year old female with a 6-week history of progressive deteriorating vision OU, headache and pain associating with eye movements. Previous history significant for multiple sclerosis.
363 Lid Ecchymosis, Subconjunctival Hemorrhave and Orbital Lesion - And That's Not All FolksThomas L. Slamovits, MD; Mark SuhrlandA 3 1/2-year old female with a 3-week history of fatigue, leg pain, pallor, low-grade fever and a bruise over the right brow. Previous history significant for progressive anemia and lymphocytosis.
364 Painful Red Eye in a 69-Year Old Female with Sensorineural Hearing LossMichael Engelbert, MD, PhD; Sara Akbari; Renata Joffe, MD; Yakov Fellig, MD; Spiros Manolidis, MD; Jeffrey Odel, MDA 63-year old female with a 6-year history of ulcerative colitis and erythema nodosum. Previous history significant for bilateral hearing loss, diffuse headache preceded by intermittent vertigo and tinnitus.
365 Painful Red Eye in a 69-Year Old Female with Sensorineural Hearing Loss (PowerPoint)Michael Engelbert, MD, PhD; Sara Akbari; Renata Joffe, MD; Yakov Fellig, MD; Spiros Manolidis, MD; Jeffrey Odel, MDA 63-year old female with a 6-year history of ulcerative colitis and erythema nodosum. Previous history significant for bilateral hearing loss, diffuse headache preceded by intermittent vertigo and tinnitus.
366 Painful Red Eye in a 69-Year Old Female With Sensorineural Hearing Loss (Presentation Video)Michael Engelbert, MD, PhD; Sara Akbari; Renata Joffe, MD; Yakov Fellig, MD; Spiros Manolidis, MD; Jeffrey Odel, MDA 63-year old female with a 6-year history of ulcerative colitis and erythema nodosum. Previous history significant for bilateral hearing loss, diffuse headache preceded by intermittent vertigo and tinnitus.
367 Papilledema with Cortical Visual LossJonathan C. Horton, MD, PhD; Brooks J. Crawford, MDA 48-year old female with Dx idiopathic intracranial hypertension and a history of intermittent bi-frontal, pulsatile headache associated with vomiting and photophobia. Previous history significant for Dx carcinomatous meningitis from metastatic melanoma.
368 Something Smells Rotten in DenverJeffrey L. Bennett, MD, PhD; Victoria Pelak, MD; Robert Breeze, MD; Bette Kleinschmidt-DeMasters, MDA 46-year old male with a 3-month history of a recurring unpleasant odor and diminishing vision OD. Previous history significant for Tourette's syndrome.
369 What's In a Name? (PowerPoint)Nicholas Volpe; Allan Wulc; Jodi Sasson; Myron Yanoff76-year old male; five year history of muscle pain and arthralgia; four year history of PMR symptoms; gastrointestinal illness.
370 What's In a Name? (Presentation Video)Nicholas Volpe; Allan Wulc; Jodi Sasson; Myron Yanoff76-year old male; five year history of muscle pain and arthralgia; four year history of PMR symptoms; gastrointestinal illness.
371 Tissue Is the IssueChristine Greer; Jasmine Francis; Eli Diamond; Charles Eberhart; Marc DinkinThe pathologic specimen demonstrated atypical histiocytic proliferation and infiltration with abundant cytoplasm, CD68+, S100+, consistent with Rosai Dorfman (RDD). The patient had been treated with steroids with a partial response and disease stabilization with radiation therapy with subsequent pro...
372 Tissue Is the Issue (PDF)Christine Greer; Jasmine Francis; Eli Diamond; Charles Eberhart; Marc DinkinThe pathologic specimen demonstrated atypical histiocytic proliferation and infiltration with abundant cytoplasm, CD68+, S100+, consistent with Rosai Dorfman (RDD). The patient had been treated with steroids with a partial response and disease stabilization with radiation therapy with subsequent pro...
373 Are We 'Tilting At Windmills'? (PDF)Michael VaphiadesA 52-year-old African American woman presented to her primary care physician with a 4 week history of headaches, nausea, vomiting, fever and ataxia. Her medical history includes rheumatoid arthritis, hypertension and a recent diagnosis of pulmonary; sarcoidosis for which she was taking 20 mg of pred...
374 Uncertainty with a Twist of Lyme (abstract)Amrita-Amanda Lakraj; Sang Hong; Jennifer Connelly; Elizabeth CochranThe patient is a 59-year-old woman who presented with vision loss. Her ophthalmologic history is significant for; myopic astigmatism and presbyopia. Her past medical history is notable for left breast cancer (T2N0 invasive lobular carcinoma, ER/PR positive, HER2/neu negative) s/p left mastectomy, ch...
375 Alcohol is Never the Answer, but it Does Make You Forget the Question (abstract)Ali Saber Tehrani; Diana Londono; Thomas Rashid; Manuel Doria; Julia Biernot; Jorge KattahA 63-year old male with a history of alcohol abuse presented with two weeks of confusion and imbalance. On exam, he had left beating nystagmus on left gaze, and right beating and torsional nystagmus on right gaze. Head impulse test was abnormal in all canals bilaterally with video head impulse test ...
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