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TitleCreatorHistory
151 Is it a Crime to be Blind? I plead the 4th!Jasmine Gopwani; Edward Margolin; Tran Le; Wayne Cornblath; Rasmus KiehlA 30 year old previously healthy man from Sudan presented to a community hospital with a seizure. MRI revealed a 'right frontal lobe tumor'. Brain biopsy was performed but the pathology findings were inconclusive. Initial interpretation was "brain tissue with increased cellularity consistent with gl...
152 I Can't Stand the Double VisionIris Ben Bassat Mizrachi; Ruth Huna-Baron; Rivka Inzelberg; Yonathan SharabiA 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...
153 A Candid Look at a Missed DiagnosisEdward Margolin; Jasmine Gopwani; Robert WillinskyShe was diagnosed with migraine, stress, and 'drug seeking' presumed from a history of past (intravenous?) heroin use.
154 Almost CatastrophicDanielle S. Rudich; Samuel Yun; Anne Liebling; Jonathan E. Silbert; Robert L. LesserA 36 year-old Caucasian male presented to his ophthalmologist with one month of headache, blurry vision, and intermittent diplopia. The patient denied transient visual obscurations, tinnitus, prior medical problems or use of steroids/Vitamin A/antibiotics. He was 235 pounds and 5'9". Because examina...
155 A TAAD Bit UnusualNisreen K. Mesiwala; Susan T. StefkoA 12 year-old previously healthy boy presented to the emergency room with a five-day history of progressive frontal headaches and acute onset of horizontal, binocular diplopia on left gaze. He had no significant medical history and his only significant ocular history was mild myopia and X-linked col...
156 A TAAD Bit UnusualNisreen K. Mesiwala; Susan T. StefkoA 12 year-old previously healthy boy presented to the emergency room with a five-day history of progressive frontal headaches and acute onset of horizontal, binocular diplopia on left gaze. He had no significant medical history and his only significant ocular history was mild myopia and X-linked col...
157 Innocent until Proven GuiltyHeather E. Moss; Tiffany Stroup; Amy Lin; Oliver Graf; Jeffrey Borgeson; Aaron Halfpenny; Howard Lipton; Tibor Valyi-NagyA 31 year-old male experienced right eye blurring and pain. He was diagnosed with optic neuritis and treated with IV steroids. Nine days later he developed headache, worsening vision, speech trouble and right-sided weakness. Two days later he developed low-grade fever and trouble walking. He had NLP...
158 More Than a Cu-bit of Vision LossPhilip M. Skidd; Rebecca C. Stacy; Waqar Waheed; Mohamed-Ali BabiA 45 year-old, right-handed, man, presented after awakening with no vision in his left eye. Two days earlier he had experienced a brief episode of binocular horizontal, and then oblique, diplopia. One week prior, he developed left facial numbness and "sinus pain" on the same side; a five day course ...
159 Much-Ado About Acute Vision LossMahsa A. Sohrab; Andrea Birnbaum; Michael Sidiropoulos; Lois Polatnick; Nicholas J. VolpeProgressive fatigue and right face, arm, and leg pain.
160 Which One is The Real ZebraMadhura A. Tamhankar; Julia Kharlip; Robert Lustig; Jon Burnham; Karuna Shekdar; Michele Paessler; Lucy Rorke; Kristina ColeA 15-year-old male complained of headaches and nausea, two months after appendectomy.
161 Which One is The Real ZebraMadhura A. Tamhankar; Julia Kharlip; Robert Lustig; Jon Burnham; Karuna Shekdar; Michele Paessler; Lucy Rorke; Kristina ColeA 15-year-old male complained of headaches and nausea, two months after appendectomy.
162 A Case of Cotton Wool SpotsGolnaz Moazami; Hermann Schubert; Sampson Jacinda; Riley ClaireA 31 year old Caucasian male was admitted to a local ER after being found unresponsive on a couch at home, incontinent of urine, and having vomited with tongue bruising. He was arousable in the ER but febrile to 102 F with WBC= 19,000. He was loaded with dilantin, and emergency CT showed a left post...
163 It's Deja Vu All Over AgainAileen A. Antonio-Santos; Yanny L. Phillips; Baha El Khatib; Howard T. Chang; David I. Kaufman; Eric R. EggenbergerA 51-year-old male with a history of amblyopia OD presented in February 1999 with hyperemia, swelling and periorbital pain of the left eye. Visual acuity (VA) was 20/80 OD and 20/25 OS; color vision was 10/11 Ishihara plates OU, and Goldmann perimetry showed an inferior quadrantanopia OS. There was ...
164 Beware the Trojan HorseDenize Atan; Nithin Nair; Mrinal Rana; Swarupsinh V. Chavda; Andrew JacksSystemic hypertension, hypercholesterolemia, and cerebrovascular disease treated with an antiplatelet drug, thiazide diuretic, ACE inhibitor and statin.
165 Beware the Trojan HorseDenize Atan; Nithin Nair; Mrinal Rana; Swarupsinh V. Chavda; Andrew JacksSystemic hypertension, hypercholesterolemia, and cerebrovascular disease treated with an antiplatelet drug, thiazide diuretic, ACE inhibitor and statin.
166 Blame it on the PillSachin Kedar; Padmaja Sudhakar; Stuart Tobin; William O. Connor; Fernando DecastroThree 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.
167 Is it a Crime to be Blind? I plead the 4th!Jasmine Gopwani; Edward Margolin; Tran Le; Wayne Cornblath; Rasmus KiehlA 30 year old previously healthy man from Sudan presented to a community hospital with a seizure. MRI revealed a 'right frontal lobe tumor'. Brain biopsy was performed but the pathology findings were inconclusive. Initial interpretation was "brain tissue with increased cellularity consistent with gl...
168 A Candid Look at a Missed DiagnosisEdward Margolin; Jasmine Gopwani; Robert WillinskyShe was diagnosed with migraine, stress, and 'drug seeking' presumed from a history of past (intravenous?) heroin use.
169 Almost CatastrophicDanielle S. Rudich; Samuel Yun; Anne Liebling; Jonathan E. Silbert; Robert L. LesserA 36 year-old Caucasian male presented to his ophthalmologist with one month of headache, blurry vision, and intermittent diplopia. The patient denied transient visual obscurations, tinnitus, prior medical problems or use of steroids/Vitamin A/antibiotics. He was 235 pounds and 5'9". Because examina...
170 More Than a Cu-bit of Vision LossPhilip M. Skidd; Rebecca C. Stacy; Waqar Waheed; Mohamed-Ali BabiA 45 year-old, right-handed, man, presented after awakening with no vision in his left eye. Two days earlier he had experienced a brief episode of binocular horizontal, and then oblique, diplopia. One week prior, he developed left facial numbness and "sinus pain" on the same side; a five day course ...
171 Burned by DiplopiaBonnie M. Keung; Reuben Mari Valenzuela; Meena Gujrati; Jeffrey R. DeSanto; Jorge C. Kattah; John H. PulaIn 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.
172 Which One is The Real ZebraMadhura A. Tamhankar; Julia Kharlip; Robert Lustig; Jon Burnham; Karuna Shekdar; Michele Paessler; Lucy Rorke; Kristina ColeA 15-year-old male complained of headaches and nausea, two months after appendectomy.
173 A Case of Cotton Wool SpotsGolnaz Moazami; Hermann Schubert; Sampson Jacinda; Riley ClaireA 31 year old Caucasian male was admitted to a local ER after being found unresponsive on a couch at home, incontinent of urine, and having vomited with tongue bruising. He was arousable in the ER but febrile to 102 F with WBC= 19,000. He was loaded with dilantin, and emergency CT showed a left post...
174 Beware the Trojan HorseDenize Atan; Nithin Nair; Mrinal Rana; Swarupsinh V. Chavda; Andrew JacksSystemic hypertension, hypercholesterolemia, and cerebrovascular disease treated with an antiplatelet drug, thiazide diuretic, ACE inhibitor and statin.
175 An Ironclad Case of Vision LossMarc J. Dinkin; George Parlitsis; Sarju Patel; Alex Merkler; Audrey Schuetz; Cristiano OliveiraA 43-year-old man with AIDS and a CD4 count of 4, non-compliant with HAART, presented with four days of headache, photophobia and vision loss in his left eye. There was a history of treated syphilis and CMV retinopathy. On neuro- ophthalmological examination, visual acuities were 20/40 OD (formerly ...
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