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Title | Creator | History |
1801 |
|
Visual Loss: A Sinus Headache? | Angela W. Kim | A 61-year old male with temporal scotoma OU and metamorphopsia. Previous history significant for type II diabetes, hypertension and cluster headache. |
1802 |
|
Neurofibroma of the Retina | Lois J. Martyn | A 13-year old female with asymptomatic loss of vision OD. |
1803 |
|
Tuber of III Ventricle | Lois J. Martyn | N/A |
1804 |
|
A Bad Case of Flatus | Victoria S. Pelak | A 37-year old female with a history of hepatocellular carcinoma, status post liver transplant x 2, presented to the ED with a 1-day history of right-sided headache, right eye pain, photophobia and unsteady gait. Two days prior to presentation patient had been discharged following second transplant. |
1805 |
|
Who Deserves a Second Chance? | Lina Nagia, Jennifer I. Doyle, Lanning B. Kline | An 81-year-old woman presents with a one-month history of blurred vision OS, acutely worse in the past 5 days. She reports pain with left gaze, left sided forehead tenderness and some weight loss. Medical history includes hypertension, borderline diabetes, cerebral vascular accident and basal cell c... |
1806 |
|
Left Ethmoid Sinus and Orbital Mass | Andrew W. Lawton | A 61-year-old female proptosis OS. Previously history significant for 5 surgical procedures for a lesion involving sinuses, subfrontal intracranial region and medial left orbit. |
1807 |
|
Fool Me Once Shame on You, Fool Me Twice and I'm the Fool | Gregory S. Kosmarsky | A 54-year old female with blurring of the right eye and pain associated with movement. |
1808 |
|
Bluish Hemagiomas of the Skin, Focal Seizures, and Homonymous Hemianopia | E. A. Waybright | A 19-year-old male with a 4-month history of clonic left arm twitching and subsequent complaints of bi-frontal headache. |
1809 |
|
Biochemical Approach to Demyelination | E. K. Wong | In 1980, our researchers in the Department of Ophthalmology, UC Irvine, were the first to describe abnormally low plasma zinc levels in patients with demyeli-nation. |
1810 |
|
Schwannoma: Correlation of Needle and Orbital Biopsies | David W. Zauel | A 65-year old with a 2-year history of proptosis and 6-month history of increasing orbital and ocular pain OS. |
1811 |
|
A Lesion of the Pineal Region | Wayne Shtybel | A 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. |
1812 |
|
A Weak Presentation | Reuben M. Valenzuela, Bradley J. Katz, Alison V. Crum, Kathleen B. Digre, Nick Mamalis, Hans C. Davidson, Judith E. A. Warner, MD, Moran Eye Center, University of Utah | An 82-year-old right-handed man with myasthenia gravis presented in May 2014 with double vision and right facial numbness and weakness. He was first seen in 1998 with horizontal diplopia. He had an abduction deficit of the right eye, and right nasolabial fold flattening. He was diagnosed with myasth... |
1813 |
|
Headache, Confusion and Visual Loss | Lyn A. Sedwick | A 51-year old female with loss of vision OU, headache and confusion. Previous history significant for hypertension. |
1814 |
|
Isolated, Inferior Rectus Palsy in a Patient with Esophageal Carcinoma | Lyn A. Sedwick | A 55-year old male with a 2-week history of vertical, binocular diplopia. Previous history significant for squamous cell carcinoma of the esophagus with metastatic lesions in lung and supraclavicular lymph nodes. |
1815 |
|
Blindness and Lung Cancer | Ralph A. Sawyer | A 65-year old female with a 12-month history of hoarseness and episodic dimming of vision OU. Subsequent hospitalization and thoracotomy revealed small cell carcinoma of the left lung. |
1816 |
|
By The Skin of My Teeth | Wendy Robinson | A 46-year old male with dysarthia, poor short-term memory, confusion and blurred vision. Previous history significant for Charcot-Marie-Tooth Disease-type I, hypertension and thyroid cancer. |
1817 |
|
Pneumonia and Seizures in a 3-Month-Old Girl | F. C. Riley | A 3-month old female with pneumonia Tx Antibiotic |
1818 |
|
I Can't See Straight | Steven A. Newman, T. Ben Ableman | In May of 2014 this 30 year old right handed patient was referred for consultation regarding diplopia and dizziness. The patient relates that she had been told that she had "tired eyes" as a child. Two and a half years ago she began to have intermittent exodeviation. She was seen locally and diagnos... |
1819 |
|
Insurance Agent Proptosis | R. L. Sogg | A 27-year old male with a history of proptosis. |
1820 |
|
Spasm of the Near Reflex in a Third Ventricle Tumor | R. L. Sogg | An 11-year old male with headache, nausea, vomiting and papilledema 2-1/2 years prior to death. |
1821 |
|
Foster-Kennedy Syndrome | J. R. Coppeto | A 61-year old female with a 5-year history of diminishing vision associated with headache. Previous history significant for hypertension and congestive heart failure both of which were controlled. Cholecystectomy twenty years earlier. |
1822 |
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Left Optic Radiation Lesion | Edward M. Cohn | A 21-year old female with visual field disturbances and headache. Previous history significant for astrocytoma Tx: Surgery XRT |
1823 |
|
Epithelioid Malignant Melanoma | James R. Coppeto | A 49-year old female with a history of subacute, painless loss of vision OD |
1824 |
|
Total Blindness in a Case of Unilateral Occipital Mass Lesion | J. R. Buncic | A 24-year-old male with a 2-week history of severe headache and vomiting. Previous history significant for lupus erythematosus. |
1825 |
|
Star Spangled Banner | Dara M. Bier, Jeffrey P. Greenfield, Marc K. Rosenblum, Joseph P. Comunale Jr., Cristiano Oliveira, Marc J. Dinkin | A 12-year-old girl with a history of bilateral optic nerve enlargement, enterovirus meningitis, seizures, and bilateral hygromas, presented with acute onset chronic vision loss in her left eye. Two years prior, she presented to an outside hospital with headaches, intermittent speech arrest and right... |
1826 |
|
Blindness, Fasciculations, Brown Spots and Brown Spots | William G. Ellis | A 62-year old male with a history of poor vision since early childhood. Age 10 marginal vision; age 20 only slight light perception OS; age 35 no longer able to read although able to identify very large print with the aid of a bright light and a strong magnifying glass. |
1827 |
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Chaotic Eye Movements and Reticulum Cell Sarcoma | Don C. Bienfang | A 53-year old male with a sudden onset of incoherent speech. A reticulum cell sarcoma was excised from the left temporal lobe. |
1828 |
|
Multiple Brain Lesions and Excessive Thirst | Jon N. Currie | A 25-year old with complaints of excessive thirst. Previous history significant for viral illness with symptoms of sore throat, nasal congestion, lethargy and headache. |
1829 |
|
Bilateral VI Nerve Palsies and Weight Loss | Noble J. David | A 58-year old male with painless, midstripe diplopia. Periodic occipital headache and one episode of true vertigo experienced before the onset of presenting symptoms. |
1830 |
|
Three Weeks in Florida | Andrew R. Carey, J. Antonio Bermudez-Magner, Sander R. Dubovy, Norman J. Schatz, MD, Bascom Palmer Eye Institute; Linda L. Sternau, Byron L. Lam | A 36 year-old man presented with severe headaches, bilateral leg numbness, and bilateral decreased vision. He was born in Ecuador where he received BCG vaccination and immigrated to US at age 19. In 2005 he enrolled in nursing school and volunteered in homeless shelters. PPD was positive with a nega... |
1831 |
|
Nobody's Perfect | Alexander Ksendzovsky, Steven A. Newman, MD, University of Virginia School of Medicine | In June of 2006 an 8 year old patient was referred for evaluation. Apparently at age 1 ½ she had developed headaches and was found to have a posterior fossa tumor. In El Salvador she was treated with shunting and chemotherapy plus radiation therapy for presumed medulloblastoma. She underwent a shun... |
1832 |
|
Retinopathy, Encephalopathy, Peripheral Neuropathy | Duncan P. Anderson | A self-reported gay 28-year old male with herpes zoster followed by fever, weight loss, fatigue and right arm paresthesia, decreased knee and ankle jerks. |
1833 |
|
A Shot in the Dark | Joshua Pasol, Ricardo J. Komotar, Faisal Yamani | A 74 year-old man with a chief complaint of difficulty with night time driving for several years as well as difficulty going from a lighted room to a dark room. PMH of high cholesterol, BPH, hypothyroidism, GERD, glottic squamous cell cancer without recurrence, and a prior history of alcoholism. POH... |
1834 |
|
Some Like it Hot | Ahmara G. Ross, Islam M. Zaydan, Gabrielle R. Bonhomme, Ellen B. Mitchell, Tarek A. Shazly, Deborah C. Parish | A 71 year old Caucasian man with a past medical history of hypertension, hyperlipidemia, Type 2 DM, ESRD status post renal transplant, facial melanoma, currently on ASA for a stable left sided putaminal hemorrhage presented with new right sided ptosis and lower extremity weakness. Brain MRI obtained... |
1835 |
|
Bilateral Ptosis | Roy W. Beck | A 24-year old male with progressive bilateral ptosis. |
1836 |
|
Visual Loss and Unilateral Exophthalmos | M. G. Alper | A 23-year old male with 3-month history of blurred vision OD associated with exophthalmos. |
1837 |
|
Mucinous Adenocarcinoma Metastatic to the Eye and Orbit | Dresner, Steven C. | Case 1: A 30-year old male with pain, right proptosis and limited extraocular motility. Case 2: A 38-year old male with a 2-month history of pain and photophobia OS. |
1838 |
|
Diplopia, Sarcoid and Multiple Aneurysms | Costin, John A. | A 65-year old male with horizontal diplopia associated with a 3-month history of pain behind the left eye. Previous history significant for autoimmune hemolytic anemia treated by splenectomy. |
1839 |
|
Migraine, Pseudotumor Cerebri, Blindness and Death | Donin, Jerry F. | A 38-year old male with episodic scintillating scotoma. Family history significant for mother who died of a brain tumor. |
1840 |
|
Chronic Fatal Meningitis Beginning as Infectious Mononucleosis | James R. Keane, MD, University of Southern California Medical Center | A 17-year old male with depression, fever, and lethargy Dx infectious mononucleosis. |
1841 |
|
Brain Stem Encephalitis | James R. Keane, MD, University of Southern California Medical Center | A 52-year old male with nausea, vomiting, diplopia and left-side weakness. |
1842 |
|
Chronic Choked Disc with Progressive Visual Loss - The Direct Approach | Joel S. Glaser, MD (1938 - 2011) | A 59-year ols male with a 3-year history of chronically choked left optic nerve. |
1843 |
|
Carotid Artery Disease, Ataxia, Memory Loss and Incontinence | Bruce W. Wilson, MD | A 54-year old male with ataxic gait, cognitive decline and incontinence. |
1844 |
|
Meningeal Carinomatosis | Bruce W. Wilson, MD | A 51-year old male, easily fatigued, diagnosed with small cell carcinoma of the lung, stomach and prostate. |
1845 |
|
Blindness in Cerebral Glioma | Bruce W. Wilson, MD | A 61-year old female with a sudden loss of vision to blindness. Previous history significant for biopsy-proven cerebral glioblastoma multiforme. |
1846 |
|
Cortical Blindness and Global Amnesia | Bruce W. Wilson, MD | A 70-year old male with an sudden onset of blindness and memory loss. Previous history significant for MI. |
1847 |
|
Congenital Arthrogryposis Multiplex | Richard L. Sogg, MD, Clinical Professor of Ophthalmology at Stanford University | A full-term 2.9 kg male with arthrogryposis congenita multiplex. |
1848 |
|
Craniopharyngioma | Richard L. Sogg, MD, Clinical Professor of Ophthalmology at Stanford University | A 15-year old female with a 1-month history of nausea, increasing fatigue, severe headache and vomiting. |
1849 |
|
Graves Optic Neuropathy | Cobbs, Walter H. | A 47-year old male with bilateral blurred vision of a 2-month duration. Previous history significant for diabetes mellitus, hypertension and peptic ulcer. |
1850 |
|
Enlarged Optic Nerve on CT Scan | Feldman, Barbara | A 32-year old male with acute loss of vision OS. Previous history significant for gunshot wound to the left maxillary area without ocular involvement. |
1851 |
|
Eye of Bone, Braine of Stone: The Case of the Petrified Kid | Fratkin, Jonathon D. | A 17-year old male with trunkal ataxia, tremor, dysarthria and lateral gaze nystagmus. |
1852 |
|
French Canadian Lid Flutter | Barkley, Gregory L. | A 58-year old female of French Canadian descent who at age 50 developed gradual, progressive weakness, dysphagia and ptosis in the same manner as had her father, grandmother and great-grandmother. |
1853 |
|
Cyst of the Intraorbital Optic Nerve Sheath | Harris, Gerald J. | A 43-year old female with a 3-year history of optic atrophy and proptosis. |
1854 |
|
Decreased Vision and Lapses of Consciousness in a Family | Barnes, Raymond | A 53-year old female with progressive loss of vision and accompanying lethargy. |
1855 |
|
Iatrogenic Orbital Syndrome | Ellenberger, Carl | A 63-year-old male with shooting pains in the left side of his jaw, left-sided headache, diplopia, nausea and dizziness. |
1856 |
|
Brainstem Tegmental Bacterial Encephalitis | Harvey, F. | A 63-year old male with acute vertigo, nausea, vomiting and horizontal diplopia with numbness of the right face and tongue. |
1857 |
|
Brain Stem Tuberculoma | Boghen, Daniel | A 43-year old female with a history of headache, nausea, vomiting, diplopia, ataxic gait and numbness of both sides of the face and the right side of the body. Previous history significant for peptic ulcer and spinal tuberculosis. |
1858 |
|
Arteriovenous Malformation of the Optic Nerve and Chiasm Causing Optic Atrophy and Enlargement of the Optic Canal | Felton, Warren L., III | A 22-year old male with decreasing vision OD, right optic atrophy and right-sided retro-orbital pain. |
1859 |
|
Bilateral VI Nerve Paresis | Hansen, Maurice | A 48-year old male with a 4-week history of transient right facial numbness and episodic vertigo. |
1860 |
|
Microsurgical Extraction of an Intraorbital Meningioma | John S. Kennerdell, MD, Chair, Department of Ophthalmology, Allegheny General Hospital Professor, Ophthalmology, Drexel University | A 48-year old female with a history of painless, progressive loss of vision OS associated with mild proptosis but no diplopia. |
1861 |
|
Brain Stem Disorder | Irene E. Loewenfeld, Formerly Professor of Ophthalmology at Kresge Eye Institute, Wayne State University | 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. |
1862 |
|
Gangliosidoses and the Fetal Retina | David G. Cogan, MD (1908-1993), Former Director of Ophthalmology, National Eye Institute | Eyes were obtained from a 21 week old fetus by therapeutic abortion from a 27 year old primparous Jewish woman. Eyes were obtained from a 22 week old fetus by therapeutic abortion from a 30 year old gravid 2 non-Jewish woman whose previous child died at 15 months of age. |
1863 |
|
Hodgkin's Disease with Associated Granulomatous Angiitis | David G. Cogan, MD (1908-1993), Former Director of Ophthalmology, National Eye Institute | A 38-year old male with an 8-month history history of failing memory, faulty sentence construction, (mixing Arabic, French and English) and more recently headache, nausea, vomiting, dizziness, episodic hallucinations, confusion and right-sided seizure. |
1864 |
|
Atypical Clinical Presentation of PSP | David G. Cogan, MD (1908-1993), Former Director of Ophthalmology, National Eye Institute | A 64-year old female whose symptoms began at age 57 with progressive gait disturbance, dysarthria, general slowness and poor vision. |
1865 |
|
Exophthalmos, Ophthalmoplegia, Orbital Pain | Nancy J. Newman, MD, Emory Eye Center | A 47-year old male with throat, nose and orbital pain associated with self-reported blurred vision. |
1866 |
|
Astrocytoma | James J. Corbett, MD, University Of Mississippi | A 51-year old male with eye irritation, horizontal double vision, headache, nausea and vomiting. |
1867 |
|
Blindness, Optic Atrophy and Optociliary Vessels: A "Pathognomonic" Triad | James J. Corbett, MD, University Of Mississippi | A 44-year old male with blurred vision OD. |
1868 |
|
Chronic Asthma and Peripheral Neuropathy with Retinal and Optic Nerve Ischemia | Joel M. Weinstein, MD | A 61-year old male with a sudden loss of vision OD and episodic amaurosis fugax OS. |
1869 |
|
Cavernous Sinus Syndrome | 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 38-year old male with right facial numbness and prominent right eye. Previous history significant for nystagmus and poor visual acuity. |
1870 |
|
Bilateral Orbicularis Oculi Movement | Jeffrey G. Odel, MD, Columbia University Medical Center | A 15-year old female with a 1-week history of involuntary rippling movements of the face and increased clumsiness of gait. |
1871 |
|
Histopathology of Graves' Optic Neuropathy | Robert C. Sergott, MD | A 72-year old male with a 3-month history of slowly progressive bilateral visual loss. Previous history significant for emphysema. |
1872 |
|
Bitemporal Hemianopsia, Recurrent Meningitis, and Presumed Empty Sella | Steven E. Feldon, MD, University of Rochester Medical Center | A 51-year male with a history of recurring meningitis. |
1873 |
|
Guess What Happened in Baltimore? | David L. Knox, MD, Wilmer Eye Institute | A 59-year old female with bilateral progressive loss of vision. |
1874 |
|
My Heavens - What Is It? | John L. Keltner, MD, UC Davis Health | A 16-year old male with a diagnosis of linear nevus sebaceous syndrome presented with a red lesion OS, hypoplastic malformations and seizures. |
1875 |
|
Juvenile Visual Loss | John L. Keltner, MD, UC Davis Health | A 7-year old male with a history of poor vision. |
1876 |
|
Blindness and Hemiparesis from a Sebaceous Cyst | John L. Keltner, MD, UC Davis Health | A 22-year old female with ophthamoplegia OS. Previous history significant for sebaceous cyst removed from forehead and subcutaneous necrotic lesion below incision. Subsequent extenteration of left orbit. |
1877 |
|
Mechanism of Oculomotor Synkinesis | Patrick Sibony, MD, Stony Brook Medicine | A 69-year old female with periocular pain OD and ptosis. |
1878 |
|
Klippel-Trenaunay-Weber Syndrome Complicated by Progressive Visual Loss | Thomas C. Spoor, MD, Sarasota Retina Institute | An 18-year old female with 4-year history of decreased vision and right esotropia. Previous history significant for excessive rapid growth of left lower extremity with hemangiomas on the left leg, buttock and right temple. Family history significant for Adie's tonic pupil. |
1879 |
|
Looking through the Spinal Cord | John B. Selhorst, MD | A 68-year old male with right cranial headache one week after a right carotid endarterectomy. |
1880 |
|
Corectopia and Coma | John B. Selhorst, MD | A 30-year old male with homonymous hemianopia and headache of a 1-month duration. |
1881 |
|
Blindness with Brain Tumor - The Mechanism? | John B. Selhorst, MD | A 48-year old male with photopsias in his right visual field. |
1882 |
|
Confusion and Retinal Hemorrhages | Richard E. Appen, MD | A 53-year old male with a 2-week history of mental confusion and hallucinations. Prior to hospitalization, slurred speech, impaired gait and drowsiness was observed. |
1883 |
|
Meningeal Carinomatosis | Richard E. Appen, MD | A 53-year old male with a history of schizophrenia admitted with headache, insomnia, difficulty walking and vague visual problems. |
1884 |
|
Chiasmal Conundrum | Richard E. Appen, MD | A 41-year old male with progressive, painless blurred vision OD of a 3-week duration and for ten days OS. Previous history significant for chorioretinitis. |
1885 |
|
Intermittent Oscillopsia; Ocular Motility Disorders | Robert D. Yee, MD | A 36-year old female with episodic vertical oscillopsia. |
1886 |
|
Intraocular Myelin Following Trauma To The Optic Nerve | Robert D. Yee, MD | A young male with blindness OD who had been struck in the eye 12-hours previous while playing football. |
1887 |
|
Aneurysmal Bone Cyst | Robert D. Yee, MD | A 10-year old male with a self-described fuzzy spot in the central field OS and difficulty reading. |
1888 |
|
Cerebral Vasculitis and Orbital Pseudotumor | Robert D. Yee, MD | A 40-year old female was noted by family members to be disoriented with respect to surroundings and speaking incoherently. |
1889 |
|
Cross-Sectional Orbital Anatomy | Joel G. Sacks, MD, Tulane Medical Center | N/A |
1890 |
|
Delayed Onset of Ophthalmoplegia Following Criminal Assault | Joel G. Sacks, MD, Tulane Medical Center | A 55-year old female with multiple stab wounds and soft tissue injuries over the right neck and face after a sexual assault. |
1891 |
|
Episodic Multifocal Neurologic Signs in a 46-Year Old Woman | Drewry, R. | A 46-year old female with episodic light-headedness and left hemiparesis. |
1892 |
|
Exophthalmos and Homolateral Frontal Calcification in a Child | Simmons Lessell, MD (1933 - 2016) | A 7-year old male with proptosis OD. Previously history significant for lacerated right upper eyelid incurred from fall into a rosebush and grand mal seizures. |
1893 |
|
Dementia and Cortical Blindness | Joel G. Sacks, MD, Tulane Medical Center | A 59-year old female with depression, anorexia and blindness. Previous history significant for Dx Stage 4B Hodgkin Disease. |
1894 |
|
Ocular Ischemic Necrosis from Carotid Cavernous Fistula | H. Stanley Thompson, MD, University of Iowa | Case 1: A 42-year old female with a spontaneous carotid cavernous fistula on the left resultant from depressed skull fracture. Case 2: A 39-year old male with a right carotid cavernous fistula resultant from a parieto-occipital depressed skull fracture. |
1895 |
|
Warwick's Hypothesis Confirmed | Harbour, Robert C. | A 49-year old male with diplopia and anisocoria. Previous history significant for hypertension and hemorrhagic cerebrovascular accident. |
1896 |
|
See-Saw Opsoclonus Plus | William F. Hoyt PhD, Professor Emeritus, University of California, San Francisco | A 63-year old female with chaotic eye movements. A syndrome of progressive trunkal ataxia, head tremor, flaccid quadriplegia without sensory changes also observed. |
1897 |
|
Mystery Case | David G. Cogan, MD (1908-1993), Former Director of Ophthalmology, National Eye Institute | A 22-year old female with vertigo, diplopia and right sided headache. |
1898 |
|
Internuclear Ophthalmoplegia in a Child | David G. Cogan, MD (1908-1993), Former Director of Ophthalmology, National Eye Institute | A 4 1/2-year old male with a several month history of wandering right eye. |
1899 |
|
Painless Reduction of Vision in a 4-Year Old Girl with Congenital Agranulocytosis | David G. Cogan, MD (1908-1993), Former Director of Ophthalmology, National Eye Institute | A 4-year old female with congenital agranulocytosis. |
1900 |
|
Clincal Symptoms and Pathological Findings in a Case of Periarteritis Nodosa | Nancy J. Newman, MD, Emory Eye Center | N/A |