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Title | Creator | History |
401 |
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It's Always Been Like That - Video | Eric Gaier; William Butler; Joseph Rizzo | An 18 year-old Caucasian boy presented with left upper eyelid ptosis, headaches, and iris heterochromia. The patient and his family reported the left iris being darker than the right since early childhood. Over the 5 years preceding his presentation, the patient's mother noted progressive ptosis of ... |
402 |
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M & M Conference (Not on Morbidity and Mortality) | William D. Freeman, MD; Paul W. Brazis, MD; Frank A. Rubino, MD; Dennis Dickson, MD; Steven Weindling, MD; David Kostick, MD; Elizabeth Shuster, MD; David R. Chabolla, MD | A 76-year old female with intermittent horizontal diplopia and balance difficulties. |
403 |
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From Brainstem to Stern (PDF) | Neena Cherayil; Angela Viane; Grant Liu; Ali Hamedani | A previously healthy 32-year-old man complained of diplopia and one month of worsening positional headaches. He then acutely developed confusion and chills, prompting ER referral. Further history was limited by altered mental status. On presentation, he was afebrile and encephalopathic. Serum WBC wa... |
404 |
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Oh My GAD!! Something Else? | Olwen Murphy; Kemar Green; John Probasco; Daniel Gold | A 43 -year-old man presented with oscillopsia, dizziness, binocular vertical diplopia, and gait difficulties. He reported a six-month history of abdominal pain, anorexia and 50-pound weight loss, and a 3-month history of mood and cognitive changes. Torsional nystagmus, a left 4th nerve palsy (NP), u... |
405 |
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At the Crossroads | Konstantinos Douglas; Michael Yoon; Frederick Jakobiec; Joseph Rizzo III; Bart Chwalisz | A 54-year-old female former smoker presented with vertical diplopia, left facial pain and left forehead weakness. She previously had thyroidectomy for a noncancerous nodule and abdominal hysterectomy for fibroids. She reported a two-year history of worsening facial pain and numbness that started as ... |
406 |
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I Forgot. Why Did You Say I Had Double Vision? | Daniel M. Jacobson, MD; Percy N. Karanjia, MD; Roger E. Riepe, MD | A 50-year old female with painless binocular double vision who later developed seizures and impaired memory and language function. |
407 |
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Left-Right Confusion | Valérie Biousse, MD; Gregory Van Stavern, MD; Jean Sandbach, MD; Nancy J. Newman, MD | A 44-year old female with a 20-year history of migraine with aura. Previous history significant for supraventricular tachycardia triggered by caffeine and peptic ulcer disease. Post-operative, it was elicited that a tooth extraction had been performed a few weeks prior to the onset of frontal headac... |
408 |
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Shady Double Crosser | Francine Wein | A 62-year-old woman presented with a one-month history of severe light sensitivity and headache, and atwo week history of diplopia. Her photophobia was severe enough for her to wear sunglasses indoors.Her past medical history was significant for a cholecystectomy and Crohns disease, for which she ha... |
409 |
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Shady Double Crosser | Francine Wein | History & Exam A 62-year-old woman presented with a one-month history of severe light sensitivity and headache, and a two week history of diplopia. Her photophobia was severe enough for her to wear sunglasses indoors. Her past medical history was significant for a cholecystectomy and Crohn's disease... |
410 |
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Shady Double Crosser | Francine Wein | History & Exam A 62-year-old woman presented with a one-month history of severe light sensitivity and headache, and a two week history of diplopia. Her photophobia was severe enough for her to wear sunglasses indoors. Her past medical history was significant for a cholecystectomy and Crohn's disease... |
411 |
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From Brainstem to Stern (Video) | Neena Cherayil; Angela Viane; Grant Liu; Ali Hamedani | A previously healthy 32-year-old man complained of diplopia and one month of worsening positional headaches. He then acutely developed confusion and chills, prompting ER referral. Further history was limited by altered mental status. On presentation, he was afebrile and encephalopathic. Serum WBC wa... |
412 |
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A Remarkable Orbital Apex Mass in a Young Man | Alfredo A. Sadun, MD, PhD; Mark Borchert, MD; Steven E. Feldon, MD | A 29-year old male with stiff neck and intermittent diplopia. |
413 |
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Dementia and Vertical Gaze Paresis | W. Bruce Wilson, MD | A 47-year old male with an 18-month history of neurological illness initiated by ophthalmoplegia and followed by dementia. |
414 |
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I Can't Stand the Double Vision | Iris Ben Bassat Mizrachi; Ruth Huna-Baron; Rivka Inzelberg; Yonathan Sharabi | A 37 year-old woman was referred to our clinic due to bilateral ptosis and vertical binocular diplopia. She denied diurnal variations, muscle weakness or bulbar symptoms. In the past year she had been suffering from bouts of abdominal pain, diarrhea, and severe weight loss (>40 pounds), and she pres... |
415 |
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I Can't Stand the Double Vision | Iris Ben Bassat Mizrachi; Ruth Huna-Baron; Rivka Inzelberg; Yonathan Sharabi | A 37 year-old woman was referred to our clinic due to bilateral ptosis and vertical binocular diplopia. She denied diurnal variations, muscle weakness or bulbar symptoms. In the past year she had been suffering from bouts of abdominal pain, diarrhea, and severe weight loss (>40 pounds), and she pres... |
416 |
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Just Another Case of Pituitary Apoplexy? | David Chen, MD; Thomas R. Hedges III, MD | A 46-year old female with drooping right lid, double vision and severe headache. Previous history significant for autoimmune hepatitis and bilateral idiopathic uveitis. |
417 |
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From Brainstem to Stern (Slides) | Neena Cherayil; Angela Viane; Grant Liu; Ali Hamedani | A previously healthy 32-year-old man complained of diplopia and one month of worsening positional headaches. He then acutely developed confusion and chills, prompting ER referral. Further history was limited by altered mental status. On presentation, he was afebrile and encephalopathic. Serum WBC wa... |
418 |
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It's Always Been Like That - Abstract | Eric Gaier; William Butler; Joseph Rizzo | An 18 year-old Caucasian boy presented with left upper eyelid ptosis, headaches, and iris heterochromia. The patient and his family reported the left iris being darker than the right since early childhood. Over the 5 years preceding his presentation, the patient's mother noted progressive ptosis of ... |
419 |
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Alternating Vertical Nystagmus | J. B. Selhorst, MD | A 19-year old male who first presented at 3 with a non-communicating hydrocephalus due to a third ventricle obstruction with headache and gait disturbance developing at 14. |
420 |
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Brain Stem Disorder | Irene E. Loewenfeld, PhD | An 18-year old with an 8-month history of left eye pain with subsequent spread to the whole of the left side of the head. |
421 |
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Papilledema and VI Nerve Paralysis in a Five Year Old Boy with The Nephrotic Syndrome | James C. Trautmann, MD | A 5-year old male with with Dx nephrotic syndrome, hypertension and proteinuria. |
422 |
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Progressive Brain Stem Disorder | Richard Lindenberg, MD | A 63-year old female with nausea and vomiting. Initial symptoms worsened after automobile accident with loss of appetite and vertigo. |
423 |
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Severe Osteoarthritis and Bilateral Sixth Nerve Palsies | Don C. Bienfang, MD | A 67-year old female with VI nerve palsy and and infected rheumatoid nodules of right forearm. Previous history significant for osteoarthritis, anemia and peripheral neuropathy. |
424 |
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Unilateral Proptosis | Robert S. Hepler, MD; Anthony Verity, MD | A pregnant 17-year old female with prominent right eye. |
425 |
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A Brainstem Syndrome | Steven A. Newman, MD; Richard Wenzel, MD; Estelle May, MD | Case 1: A 23-year old female with fever, chills, malaise, occipital headache and ataxia. Case2: A 53-year old male with a 1-month history of severe, recurrent headache, lethargy and left hemiplegia. |