The Walsh Society Annual Meeting Archives: Proceedings of the annual meeting of the Walsh Society, which is now part of the North American Neuro-Ophthalmology Association (NANOS) Annual Meeting. Contains records from the first meeting in 1969, through the present.
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| Title | Creator | History | ||
|---|---|---|---|---|
| 301 |
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Diplopic Uveitis - Abstract | Kinda Najem, Edward Margolin, Pradeep Krishnan | 33 year-old man presented with 3 days of binocular diplopia. Visual acuity was 20/30 OU and pupillary exam was normal. Motility testing demonstrated right partial 3rd nerve palsy (no adduction and limited supraduction with complete ptosis). There were +1/2 anterior chamber cells and few vitreous cel... |
| 302 |
 |
A Case of Progressive Orbital Cellulitis in an Immunocompetent Patient - Presentation PPT | Cinthi Pillai, MD, NYU Langone; Ivana Vodopivec, MD, Brigham and Women's Hospital; Daniel Lefebvre, MD, Massachusetts Eye and Ear; Frederick A. Jakobiec, MD, DSc, Massachusetts Eye and Ear; Joseph F. Rizzo III, MD, Massachusetts Eye and Ear | A 74 year-old woman presented 2/7/2015 with left orbital swelling/discomfort. Imaging revealed paranasal sinus and orbital soft tissue abnormalities suggestive of inflammatory/infectious disease. She received intravenous vancomycin/meropenam but worsened. Medical history was notable for paroxysmal a... |
| 303 |
 |
A Case of Progressive Orbital Cellulitis in an Immunocompetent Patient - Path PPT | Cinthi Pillai, MD, NYU Langone; Ivana Vodopivec, MD, Brigham and Women's Hospital; Daniel Lefebvre, MD, Massachusetts Eye and Ear; Frederick A. Jakobiec, MD, DSc, Massachusetts Eye and Ear; Joseph F. Rizzo III, MD, Massachusetts Eye and Ear | A 74 year-old woman presented 2/7/2015 with left orbital swelling/discomfort. Imaging revealed paranasal sinus and orbital soft tissue abnormalities suggestive of inflammatory/infectious disease. She received intravenous vancomycin/meropenam but worsened. Medical history was notable for paroxysmal a... |
| 304 |
 |
A Case of Progressive Orbital Cellulitis in an Immunocompetent Patient - Abstract | Cinthi Pillai, MD, NYU Langone; Ivana Vodopivec, MD, Brigham and Women's Hospital; Daniel Lefebvre, MD, Massachusetts Eye and Ear; Frederick A. Jakobiec, MD, DSc, Massachusetts Eye and Ear; Joseph F. Rizzo III, MD, Massachusetts Eye and Ear | A 74 year-old woman presented 2/7/2015 with left orbital swelling/discomfort. Imaging revealed paranasal sinus and orbital soft tissue abnormalities suggestive of inflammatory/infectious disease. She received intravenous vancomycin/meropenam but worsened. Medical history was notable for paroxysmal a... |
| 305 |
 |
The Good, The Bad, and The Ugly - Presentation PPT | Nathan H. Kung, Robert C. Bucelli, Gregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of Medicine | A 37-year-old man with a history of hearing loss presented to the Neuro-Ophthalmology clinic in 2014 with 1 month of decreased vision in the left visual field. He also reported a period of binocular horizontal diplopia, similar in all directions of gaze, which had since resolved. Past medical histor... |
| 306 |
 |
The Good, The Bad, and The Ugly - Path PPT | Nathan H. Kung, Robert C. Bucelli, Gregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of Medicine | A 37-year-old man with a history of hearing loss presented to the Neuro-Ophthalmology clinic in 2014 with 1 month of decreased vision in the left visual field. He also reported a period of binocular horizontal diplopia, similar in all directions of gaze, which had since resolved. Past medical histor... |
| 307 |
 |
The Good, The Bad, and The Ugly - Abstract | Nathan H. Kung, Robert C. Bucelli, Gregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of Medicine | A 37-year-old man with a history of hearing loss presented to the Neuro-Ophthalmology clinic in 2014 with 1 month of decreased vision in the left visual field. He also reported a period of binocular horizontal diplopia, similar in all directions of gaze, which had since resolved. Past medical histor... |
| 308 |
 |
Not a Meatball - Video | Steven A. Newman, MD, University of Virginia School of Medicine, James Mandell, Colleen Druzgal, John Jane Jr., Spencer Payne, Sugoto Mukherjee, Beatriz Lopes | In April 2015, a 10 year old girl was referred for a four day history of ptosis and double vision. On examination, visual acuity was 20/20-OU; near vision was 3pt OU. Visual fields showed subtle arcuate visual field changes. External examination revealed palpebral fissures of 6.5 and 9 with an upper... |
| 309 |
 |
Not a Meatball - Abstract | Steven A. Newman, MD, University of Virginia School of Medicine, James Mandell, Colleen Druzgal, John Jane Jr., Spencer Payne, Sugoto Mukherjee, Beatriz Lopes | In April 2015, a 10 year old girl was referred for a four day history of ptosis and double vision. On examination, visual acuity was 20/20-OU; near vision was 3pt OU. Visual fields showed subtle arcuate visual field changes. External examination revealed palpebral fissures of 6.5 and 9 with an upper... |
| 310 |
 |
Not a Meatball - Path PPT | Steven A. Newman, MD, University of Virginia School of Medicine, James Mandell, Colleen Druzgal, John Jane Jr., Spencer Payne, Sugoto Mukherjee, Beatriz Lopes | In April 2015, a 10 year old girl was referred for a four day history of ptosis and double vision. On examination, visual acuity was 20/20-OU; near vision was 3pt OU. Visual fields showed subtle arcuate visual field changes. External examination revealed palpebral fissures of 6.5 and 9 with an upper... |
| 311 |
 |
Not a Meatball - Presentation PPT | Steven A. Newman, MD, University of Virginia School of Medicine, James Mandell, Colleen Druzgal, John Jane Jr., Spencer Payne, Sugoto Mukherjee, Beatriz Lopes | In April 2015, a 10 year old girl was referred for a four day history of ptosis and double vision. On examination, visual acuity was 20/20-OU; near vision was 3pt OU. Visual fields showed subtle arcuate visual field changes. External examination revealed palpebral fissures of 6.5 and 9 with an upper... |
| 312 |
 |
Looking for a Drop of Porcelain - Path PPT | Shannon J. Beres, Grant T. Liu, MD, Professor of Neurology, University of Pennsylvania | A 4 year old healthy boy presented with severe headache. A right subdural hygroma was seen on brain MRI and CSF evaluation showed a leukocytosis with elevated protein. A week later he developed left leg weakness and a repeat brain MRI showed progressive leptomeningeal enhancement and new punctate in... |
| 313 |
 |
Looking for a Drop of Porcelain - Presentation PPT | Shannon J. Beres, Grant T. Liu, MD, Professor of Neurology, University of Pennsylvania | A 4 year old healthy boy presented with severe headache. A right subdural hygroma was seen on brain MRI and CSF evaluation showed a leukocytosis with elevated protein. A week later he developed left leg weakness and a repeat brain MRI showed progressive leptomeningeal enhancement and new punctate in... |
| 314 |
 |
Looking for a Drop of Porcelain - Abstract | Shannon J. Beres, Grant T. Liu, MD, Professor of Neurology, University of Pennsylvania | A 4 year old healthy boy presented with severe headache. A right subdural hygroma was seen on brain MRI and CSF evaluation showed a leukocytosis with elevated protein. A week later he developed left leg weakness and a repeat brain MRI showed progressive leptomeningeal enhancement and new punctate in... |
| 315 |
 |
Eyes and Bowels Bottled Up - Video | Kristopher Kowal, Jonathan Daniel Trobe, MD, Michigan University, Theodore T. Brown | A 56 year-old man presented with diplopia and ptosis. Actually he was more concerned about severe constipation that had started about the same time. Abdominal x-rays had shown stool loading; laxatives had been ineffective. Our exam showed bilateral ptosis with complete ophthalmoplegia in both eyes. ... |
| 316 |
 |
Eyes and Bowels Bottled Up - Presentation PPT | Kristopher Kowal, Jonathan Daniel Trobe, MD, Michigan University, Theodore T. Brown | A 56 year-old man presented with diplopia and ptosis. Actually he was more concerned about severe constipation that had started about the same time. Abdominal x-rays had shown stool loading; laxatives had been ineffective. Our exam showed bilateral ptosis with complete ophthalmoplegia in both eyes. ... |
| 317 |
 |
Eyes and Bowels Bottled Up - Abstract | Kristopher Kowal, Jonathan Daniel Trobe, MD, Michigan University, Theodore T. Brown | A 56 year-old man presented with diplopia and ptosis. Actually he was more concerned about severe constipation that had started about the same time. Abdominal x-rays had shown stool loading; laxatives had been ineffective. Our exam showed bilateral ptosis with complete ophthalmoplegia in both eyes. ... |
| 318 |
 |
Eyes and Bowels Bottled Up - Path PPT | Kristopher Kowal, Jonathan Daniel Trobe, MD, Michigan University, Theodore T. Brown | A 56 year-old man presented with diplopia and ptosis. Actually he was more concerned about severe constipation that had started about the same time. Abdominal x-rays had shown stool loading; laxatives had been ineffective. Our exam showed bilateral ptosis with complete ophthalmoplegia in both eyes. ... |
| 319 |
 |
"Not Right in the Head" - Video | Melinda Y. Chang, MD, Janet Lee, MD, Robert A. Goldberg, MD, Stacy L. Pineles, MD | A 55 year old man presented with eight months of progressive left orbital swelling. His past ocular history was significant for LASIK of the right eye with monovision. His past medical history was significant for melanoma of the left arm, treated by surgical excision, with two negative lymph nodes, ... |
| 320 |
 |
In the Thick of It | Kannan M. Narayana, Ritesh A. Ramdhani, Bradford Tannen, Laura J. Balcer, Steven L. Galetta, Janet C. Rucker | A 38 year-old woman with a history of premature birth with significant developmental delay was sent for neuroophthalmic evaluation for excessive head movements with gaze shifting. As an adult, she was verbal and able to take the bus alone to a day program. Over the past two years, language and cogni... |
| 321 |
 |
The Man with No Face (About Face) | Michael S. Vaphiades, MD, University of Alabama | A 61-year-old man presented with one week history of decreased vision OS. Past medical historyincludes asthma and amblyopia OD, but with complete visual loss OD 18 years prior. He takes nomedications. He is retired but worked for 21 years in social science research. The remarkable thingupon meeting ... |
| 322 |
 |
Growing Suspicion | Angela M. Herro | A 44 year-old man presented to the emergency department in July 2011 for progressive painless visionloss in the right eye for 3 months. On presentation, vision was 4/200 in the right and 20/20 in the leftwith an afferent pupillary defect on the right. His visual field was full to confrontation but a... |
| 323 |
 |
Three Weeks in Florida | Andrew R. Carey | A 36 year-old man presented with severe headaches, bilateral leg numbness, and bilateral decreasedvision. He was born in Ecuador where he received BCG vaccination and immigrated to US at age 19. In2005 he enrolled in nursing school and volunteered in homeless shelters. PPD was positive with anegativ... |
| 324 |
 |
Under Pressure | Nathan H. Kung | A 29-year-old woman was referred to neuro-ophthalmology clinic for 1 year of headaches andpapilledema discovered 2 months earlier. She complained of recently blurred vision but no positionalheadache, pulsatile tinnitus, transient visual obscurations, or other neurologic issues. She used nomedication... |
| 325 |
 |
Hiding and Out of Sight | Michael L. Morgan | A 75-year-old white woman presented with a history of biopsy-proven giant cell arteritis (GCA)presented with recurrence of severe left sided headaches and left global ophthalmoparesis for 4 days.GCA had been diagnosed 4 months prior by biopsy. Left eye vision loss occurred when an outsidephysician t... |
| 326 |
 |
A Shot in the Dark | Joshua Pasol | History & ExamA 74 year-old man with a chief complaint of difficulty with night time driving for several years as wellas 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 alc... |
| 327 |
 |
Requim for a Cabinet Maker | Jennifer I. Doyle | A 54-year-old white male presents with 3 weeks of painless horizontal nystagmus and 6 months of leftsided forehead numbness. He reports a 20 lbs weight loss. Medical history includes a renal transplant 30years prior. He takes prednisone 30 mg QOD and azathioprine. Visual acuity is 20/20 OU, color vi... |
| 328 |
 |
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... |
| 329 |
 |
Using Muscle | Nagham Al-Zubidi | A 30- year-old Saudi female student with no past medical history presented an eight month history ofprogressive blurred vision primarily at near, anisocoria OS, and periocular discomfort with eyemovements. Neuro-Ophthalmologic examination revealed best corrected visual acuity of OD 20/20 andOS 20/30... |
| 330 |
 |
Who Deserves a Second Chance? | Lina Nagia | An 81-year-old woman presents with a one-month history of blurred vision OS, acutely worse in thepast 5 days. She reports pain with left gaze, left sided forehead tenderness and some weightloss. Medical history includes hypertension, borderline diabetes, cerebral vascular accident and basalcell carc... |
| 331 |
 |
A Weak Presentation | Reuben M. Valenzuela | An 82-year-old right-handed man with myasthenia gravis presented in May 2014 with double vision andright facial numbness and weakness. He was first seen in 1998 with horizontal diplopia. He had anabduction deficit of the right eye, and right nasolabial fold flattening. He was diagnosed withmyastheni... |
| 332 |
 |
Star Spangled Banne | Dara M. Bier | 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-s... |
| 333 |
 |
Nobody's Perfect | Alexander Ksendzovsky | In June of 2006 an 8 year old patient was referred for evaluation. Apparently at age 1she haddeveloped headaches and was found to have a posterior fossa tumor. In El Salvador she was treatedwith shunting and chemotherapy plus radiation therapy for presumed medulloblastoma. She underwenta shunt revis... |
| 334 |
 |
I Can't See Straight | Steven A. Newman | In May of 2014 this 30 year old right handed patient was referred for consultation regarding diplopiaand dizziness. The patient relates that she had been told that she had tired eyes as a child. Two and ahalf years ago she began to have intermittent exodeviation. She was seen locally and diagnosed a... |
| 335 |
 |
Lights Out | John J. Brinkley | A 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... |
| 336 |
 |
It's Not Just a FAD, (EHR Fatigue Syndrome) | Jacqueline A. Leavitt | A 29 year-old female nurse, nine months postpartum, presented with an inability to see her computerwell for the past two months. She denied eye pain, diplopia, numbness, tingling or weakness. Therewere no changes in vision in bright vs. dim lighting. She also had a headache at the back of her head f... |
| 337 |
 |
Now you see it. Now you don't. | Prem S. Subramanian | A 70 yo RH African American female presented to our institution with sequential, severe vision loss inthe preceding 4 months. Her past medical history included well-controlled hypertension andhyperlipidemia, CAD s/p coronary stent placement x 2 after MI, and stroke. She had no prior history ofvisual... |
| 338 |
 |
Some Like it Hot | Ahmara G. Ross | History & ExamA 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 putaminalhemorrhage presented with new right sided ptosis and lower extremity weakness. Brain ... |
| 339 |
 |
Speakeasy | Joseph G. Chacko | A 64 year-old Caucasian gentleman presented with an unusual complaint. He stated that if he touchedthe inside of his right cheek with his tongue, he felt a tingly sensation in his R eyebrow. This had startedone month ago. He also complained of foreign body sensation and discomfort in the right eye f... |
| 340 |
 |
Joe & Jerry Flew the Coop | Lulu L. C. D. Bursztyn | A previously healthy 13-year-old girl presented to a local hospital with fever and myalgia, followed oneday later by lethargy and vision loss. Past medical history was significant only for acne, for which shehad been treated with doxycycline 40 mg/day intermittently starting 2 months prior to sympto... |
| 341 |
 |
Growing Suspicion | Angela M. Herro, Norman J. Schatz, MD, Bascom Palmer Eye Institute, Linda L. Sternau, John R. Guy | loss in the right eye for 3 months. On presentation, vision was 4/200 in the right and 20/20 in the left with an afferent pupillary defect on the right. His visual field was full to confrontation but automated perimetry revealed a central scotoma. The remainder of the exam was normal with the except... |
| 342 |
 |
Under Pressure | Nathan H. Kung, Collin M. McClelland, Gregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of Medicine | A 29-year-old woman was referred to neuro-ophthalmology clinic for 1 year of headaches and papilledema discovered 2 months earlier. She complained of recently blurred vision but no positional headache, pulsatile tinnitus, transient visual obscurations, or other neurologic issues. She used no medicat... |
| 343 |
 |
The Relationship Between PDE-5 Inhibitors and NAION | Howard D. Pomeranz, MD | Sildenafil was first synthesized by pharmaceutical chemists working at Pfizer. It was initially studied for use in hypertension and angina. Phase I clinical trials suggested that the drug had little effect on angina but could induce penile erection. Sildenafil (Viagra®) was patented in 1996 and app... |
| 344 |
 |
The Relationship Between PDE-5 Inhibitors and NAION | Howard D. Pomeranz, MD | Sildenafil was first synthesized by pharmaceutical chemists working at Pfizer. It was initially studied for use in hypertension and angina. Phase I clinical trials suggested that the drug had little effect on angina but could induce penile erection. Sildenafil (Viagra®) was patented in 1996 and app... |
| 345 |
 |
Hiding and Out of Sight | Michael M. Morgan, Sumayya J. Almarzouqi, Patricia Chevez-Barrios, Amina I. Malik, Andrew G. Lee | A 75-year-old white woman presented with a history of biopsy-proven giant cell arteritis (GCA) presented with recurrence of severe left sided headaches and left global ophthalmoparesis for 4 days. GCA had been diagnosed 4 months prior by biopsy. Left eye vision loss occurred when an outside physicia... |
| 346 |
 |
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... |
| 347 |
 |
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... |
| 348 |
 |
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... |
| 349 |
 |
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... |
| 350 |
 |
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... |
| 351 |
 |
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... |
| 352 |
|
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... |
| 353 |
|
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... |
| 354 |
|
Requiem for a Cabinet Maker | Jennifer I. Doyle, Michael S. Vaphiades, MD, University of Alabama, James R. Hackney, Lanning B. Kline, Lina Nagia | A 54-year-old white male presents with 3 weeks of painless horizontal nystagmus and 6 months of left sided forehead numbness. He reports a 20 lbs weight loss. Medical history includes a renal transplant 30 years prior. He takes prednisone 30 mg QOD and azathioprine. Visual acuity is 20/20 OU, color ... |
| 355 |
 |
Using Muscle | Nagham Al-Zubidi, John E. Carter, Bundhit Tantawongski, Patricia Chevez-Barrios, Lyndon Tyler, Constance L. Fry | A 30- year-old Saudi female student with no past medical history presented an eight month history of progressive blurred vision primarily at near, anisocoria OS, and periocular discomfort with eye movements. Neuro-Ophthalmologic examination revealed best corrected visual acuity of OD 20/20 and OS 20... |
| 356 |
|
Lights Out | John J. Brinkley, John J. Chen, Patricia A. Kirby, Reid A. Longmuir, Matthew J. Thurtell | A 78 year-old man presented with a one-month history of progressive painless binocular vision loss. He had sustained head trauma without loss of consciousness three days prior to the onset of vision loss. On the morning of his presentation to us, he had awoken with complete binocular vision loss and... |
| 357 |
 |
It's Not Just a FAD (EHR Fatigue Syndrome) | Jacqueline A. Leavitt, John J. Chen, Diva R. Salomao | A 29 year-old female nurse, nine months postpartum, presented with an inability to see her computer well for the past two months. She denied eye pain, diplopia, numbness, tingling or weakness. There were no changes in vision in bright vs. dim lighting. She also had a headache at the back of her head... |
| 358 |
 |
Speakeasy | Joseph G. Chacko, MD, University of Arkansas, Marcus W. Moody, Harry H. Brown, Sarkis M. Nazarian | A 64 year-old Caucasian gentleman presented with an unusual complaint. He stated that if he touched the inside of his right cheek with his tongue, he felt a tingly sensation in his R eyebrow. This had started one month ago. He also complained of foreign body sensation and discomfort in the right eye... |
| 359 |
|
Shady Double Crosser | Francine B. 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... |
| 360 |
 |
Joe & Jerry Flew the Coop | Lulu LCD Bursztyn, MD, Ivey Eye Institute; Dane A. Breker, MD, Sanford Neuroscience Clinic; Andrew W. Stacey, MD, University of Washington Medicine; Ashok Srinivasan, MBBS, University of Michigan; Mark W. Johnson, MD, Kellogg Eye Center; Jonathan Daniel Trobe MD, Michigan University | A previously healthy 13-year-old girl presented to a local hospital with fever and myalgia, followed one day later by lethargy and vision loss. Past medical history was significant only for acne, for which she had been treated with doxycycline 40 mg/day intermittently starting 2 months prior to symp... |
| 361 |
|
The Man with No Face (About Face) | Michael S. Vaphiades, MD, University of Alabama; Jennifer I. Doyle, MD, Little Rock Eye Clinic; Lina Nagia, MD, Michigan State University; Kevin J. Bray, MD, Providence Health; Lanning B. Kline, MD, University of Alabama; Glenn H. Roberson, MD, University of Alabama; Adam E. Quinn, MD, Baptist Healt... | A 61-year-old man presented with one week history of decreased vision OS. Past medical history includes asthma and amblyopia OD, but with complete visual loss OD 18 years prior. He takes no medications. He is retired but worked for 21 years in social science research. The remarkable thing upon meeti... |
| 362 |
 |
Ataxia at the Masquerade Ball | Krista I. Kinard, Alison V. Crum, Judith E. A. Warner, MD, Moran Eye Center, University of Utah; Bradley J. Katz, Joshua A. Sonnen, Cheryl A. Palmer, Anne G. Osborn, L. Dana DeWitt, Kathleen B. Digre, MD, Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye C... | |
| 363 |
 |
Ataxia at the Masquerade Ball | Krista I. Kinard, Alison V. Crum, Judith E. A. Warner, MD, Moran Eye Center, University of Utah; Bradley J. Katz, Joshua A. Sonnen, Cheryl A. Palmer, Anne G. Osborn, L. Dana DeWitt, Kathleen B. Digre, MD, Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye C... | |
| 364 |
 |
Ataxia at the Masquerade Ball | Krista I. Kinard, Alison V. Crum, Judith E. A. Warner, MD, Moran Eye Center, University of Utah; Bradley J. Katz, Joshua A. Sonnen, Cheryl A. Palmer, Anne G. Osborn, L. Dana DeWitt, Kathleen B. Digre, MD, Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye C... | |
| 365 |
 |
It's Not the Tumor | Courtney E. Francis | |
| 366 |
 |
Its Not the Tumor | Courtney E. Francis | |
| 367 |
|
Blame it on the Pill | Sachin S. Kedar, Padmaja Sudhakar, Stuart Tobin, William O. Connor, Fernando Decastro | Three months earlier, he had been evaluated for malaise and weight loss and found to have lymphopenia, elevated TSH (20.3) and anti-thyroid peroxidase antibody (2874) with normal T3, ESR, B12 and folate. |
| 368 |
 |
Blame it on the Pill | Sachin S. Kedar, Padmaja Sudhakar, Stuart Tobin, William O. Connor, Fernando Decastro | Three months earlier, he had been evaluated for malaise and weight loss and found to have lymphopenia, elevated TSH (20.3) and anti-thyroid peroxidase antibody (2874) with normal T3, ESR, B12 and folate. |
| 369 |
 |
Blame it on the Pill | Sachin S. Kedar, Padmaja Sudhakar, Stuart Tobin, William O. Connor, Fernando Decastro | Three months earlier, he had been evaluated for malaise and weight loss and found to have lymphopenia, elevated TSH (20.3) and anti-thyroid peroxidase antibody (2874) with normal T3, ESR, B12 and folate. |
| 370 |
|
Muscle Bound or Unbound? | Dane A. Breker, Jonathan Daniel Trobe, MD, Michigan University, Ann A. Little, Sandra I. Camelo-Piragua | |
| 371 |
 |
Muscle Bound or Unbound? | Dane A. Breker, Jonathan Daniel Trobe, MD, Michigan University, Ann A. Little, Sandra I. Camelo-Piragua | |
| 372 |
 |
Muscle Bound or Unbound? | Dane A. Breker, Jonathan Daniel Trobe, MD, Michigan University, Ann A. Little, Sandra I. Camelo-Piragua | |
| 373 |
|
Renal Red Herring | John J. Chen, John J. Brinkley, Namrata Singh, Amanda C. Maltry, Bruno A. Policeni, Richard C. Allen, Reid A. Longmuir, Matthew J. Thurtell | Wegener's Granulomatosis |
| 374 |
 |
Renal Red Herring | John J. Chen, John J. Brinkley, Namrata Singh, Amanda C. Maltry, Bruno A. Policeni, Richard C. Allen, Reid A. Longmuir, Matthew J. Thurtell | Wegener's Granulomatosis |
| 375 |
 |
Renal Red Herring | John J. Chen, John J. Brinkley, Namrata Singh, Amanda C. Maltry, Bruno A. Policeni, Richard C. Allen, Reid A. Longmuir, Matthew J. Thurtell | Wegener's Granulomatosis |
| 376 |
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Is it a Crime to be Blind? I plead the 4th! | Jasmine Gopwani, Edward Margolin, Tran Le, Wayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of Michigan, Rasmus Kiehl | |
| 377 |
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Is it a Crime to be Blind? I plead the 4th! | Jasmine Gopwani, Edward Margolin, Tran Le, Wayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of Michigan, Rasmus Kiehl | |
| 378 |
 |
Is it a Crime to be Blind? I plead the 4th! | Jasmine Gopwani, Edward Margolin, Tran Le, Wayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of Michigan, Rasmus Kiehl | |
| 379 |
|
I Can't Stand the Double Vision | Iris B. B. Mizrachi, Ruth Huna-Baron, Rivka Inzelberg, Yonathan Sharabi | Uncontrolled hypothyroidism. |
| 380 |
 |
I Can't Stand the Double Vision | Iris B. B. Mizrachi, Ruth Huna-Baron, Rivka Inzelberg, Yonathan Sharabi | Uncontrolled hypothyroidism. |
| 381 |
|
A Candid Look at a Missed Diagnosis | Edward Margolin, Jasmine Gopwani, Robert Willinsky | She was diagnosed with migraine, stress, and "drug seeking" presumed from a history of past (intravenous?) heroin use. |
| 382 |
 |
A Candid Look at a Missed Diagnosis | Edward Margolin, Jasmine Gopwani, Robert Willinsky | She was diagnosed with migraine, stress, and "drug seeking" presumed from a history of past (intravenous?) heroin use. |
| 383 |
 |
A Candid Look at a Missed Diagnosis | Edward Margolin, Jasmine Gopwani, Robert Willinsky | She was diagnosed with migraine, stress, and "drug seeking" presumed from a history of past (intravenous?) heroin use. |
| 384 |
 |
Almost Catastrophic | Danielle S. Rudich, Samuel Yun, Anne Liebling, Jonathan E. SIlbert, 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 | |
| 385 |
 |
Almost Catastrophic | Danielle S. Rudich, Samuel Yun, Anne Liebling, Jonathan E. SIlbert, 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 | |
| 386 |
 |
Almost Catastrophic | Danielle S. Rudich, Samuel Yun, Anne Liebling, Jonathan E. SIlbert, 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 | |
| 387 |
|
A TAAD Bit Unusual | Nisreen K. Mesiwala, Susan T. Stefko | |
| 388 |
 |
A TAAD Bit Unusual | Nisreen K. Mesiwala, Susan T. Stefko | |
| 389 |
 |
A TAAD Bit Unusual | Nisreen K. Mesiwala, Susan T. Stefko | |
| 390 |
|
Innocent until Proven Guilty | Heather E. Moss, Tiffany Stroup, Amy Lin, Oliver Graf, Jeffrey Borgeson, Aaron Halfpenny, Howard Lipton, Tibor G. Valyi-Nagy | |
| 391 |
 |
Innocent until Proven Guilty | Heather E. Moss, Tiffany Stroup, Amy Lin, Oliver Graf, Jeffrey Borgeson, Aaron Halfpenny, Howard Lipton, Tibor G. Valyi-Nagy | |
| 392 |
 |
Innocent until Proven Guilty | Heather E. Moss, Tiffany Stroup, Amy Lin, Oliver Graf, Jeffrey Borgeson, Aaron Halfpenny, Howard Lipton, Tibor G. Valyi-Nagy | |
| 393 |
|
More Than a Cu-bit of Vision Loss | Philip M. Skidd, Rebecca C. Stacy, Waqar Waheed, Mohamed-Ali Babi | |
| 394 |
 |
More Than a Cu-bit of Vision Loss | Philip M. Skidd, Rebecca C. Stacy, Waqar Waheed, Mohamed-Ali Babi | |
| 395 |
 |
More Than a Cu-bit of Vision Loss | Philip M. Skidd, Rebecca C. Stacy, Waqar Waheed, Mohamed-Ali Babi | |
| 396 |
|
Much-Ado About Acute Vision Loss | Mahsa A. Sohrab, Andrea Birnbaum, Michael Sidiropoulos, Lois Polatnick, Nicholas J. Volpe, MD, Northwestern University | Progressive fatigue and right face, arm, and leg pain. |
| 397 |
 |
Much-Ado About Acute Vision Loss | Mahsa A. Sohrab, Andrea Birnbaum, Michael Sidiropoulos, Lois Polatnick, Nicholas J. Volpe, MD, Northwestern University | Progressive fatigue and right face, arm, and leg pain. |
| 398 |
 |
Much-Ado About Acute Vision Loss | Mahsa A. Sohrab, Andrea Birnbaum, Michael Sidiropoulos, Lois Polatnick, Nicholas J. Volpe, MD, Northwestern University | Progressive fatigue and right face, arm, and leg pain. |
| 399 |
|
Burned by Diplopia | Bonnie M. Keung, Reuben M. Valenzuela, Meena Gujrati, Jeffrey R. DeSanto, Jorge C. Kattah, John H. Pula | In March 2012 he sustained a concussion and forehead laceration from a motor vehicle accident. In August 2012, he developed painless, binocular, vertical diplopia, which limited him from painting art. In November 2012, his examination showed -2 limitation of up-gaze OD. |
| 400 |
 |
Burned by Diplopia | Bonnie M. Keung, Reuben M. Valenzuela, Meena Gujrati, Jeffrey R. DeSanto, Jorge C. Kattah, John H. Pula | In March 2012 he sustained a concussion and forehead laceration from a motor vehicle accident. In August 2012, he developed painless, binocular, vertical diplopia, which limited him from painting art. In November 2012, his examination showed -2 limitation of up-gaze OD. |