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1 Index of cases presented at the NANOS 1997 Walsh SessionThis document is an index of neuro-ophthalmic cases presented to physicians at the Frank B. Walsh session during the Annual North American Neuro-Ophthalmology Society Meeting. Clinical cases are presented by neuro-ophthalmologists with comments by neuroradiologists, neuropathologists, and other sele...
2 Cases presented at the NANOS 1997 Walsh SessionThis document includes a wide variety of neuro-ophthalmic cases as presented to physicians at the Frank B. Walsh session during the Annual North American Neuro-Ophthalmology Society Meeting. Clinical cases are presented by neuro-ophthalmologists with comments by neuroradiologists, neuropathologists,...
3 Cognitive and Visual Decline in a Diabetic ManBarry J. McCaslandA 57-year old male with episodic headaches and confusion over a 5-month period.
4 Slow Vertical Saccades in Motor Neuron DiseaseAdriana KoriA 54-year old female with a history of motor neuron disease. Four year prior to presentation progressive dysarthria and dysphagia required gastrostomy.
5 Microbial Keratitis as the Presenting Manifestation of Neuro-Ophthalmologic DiseaseKirch IngeborgA 34-year old male with a 5-year history floppy eyelid syndrome manifesting as pain, redness, irritation and discomfort OU. Previous history significant for non-insulin-dependent diabetes and mild hypertension.
6 Shooting CrapsJeffrey BennettA 55-year old male with episodic confusion and monocular amaurosis. Previous history significant for coronary artery disease and hypertension.
7 Blurred Vision in a 54-Year-Old Woman: Maladie de la MaisonLea Averbuch-HellerA 54-year old female with an inability to focus. 6 months prior to presentation she developed blurred vision. No abnormality noted save for frequent blinking.
8 An Oculocerebral NightmareM. Tariq Bhatti, MD, Duke HealthA 16-year old male with decreased vision OD and posterior occipital headache. Previous history significant for acute lymphocytic leukemia treated with chemotherapy and autologous bone marrow transplant.
9 Recurrent Cerebral Infarctions Associated with FeverValérie Biousse, MD Departments of Ophthalmology and Neurology, Emory University School of MedicineA 38-year old male binocular visual symptoms. Previous history significant for chronic alcohol abuse.
10 Serum Sickness and a Sixth Nerve PalsyLaura J. Balcer, MD, Professor, Department of Neurology, NYU LangoneA 78-year old female with binocular horizontal diplopia, worse in right gaze and intermittent right frontal headache. Previous history significant for non-insulin-dependent diabetes mellitus, hypertension, hyperclosterolemia, arthritis, coronary artery disease and atrial fibrillation. Bilateral cata...
11 Adolescence Revisited: Acne, Tummy Ache and Optic Neuritis in a Man Over FiftyAggarwal, AshimA 57-year old male with a 3-day history of increasing left eye pain and visual disturbance.
12 A Most Atypical ExotropiaRobert 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 MedicineA 5 1/2-year old female with optic atrophy. Previous history significant for an exotropia at age three months which did not improve with patching.
13 There is More Than Meets the EyeRobyn J. WolintzA 78 year-old woman with acute left peri-ocular pain
14 A Strange Case of the FluCharlotte R. ThompsonA 9-year old male with impaired vision OU and subsequent headache, back and neck pain. Previous history significant for a flu-like febrile illness shared with sibling. Family history remarkable for older sibling with Down syndrome.
15 When you Least Expect ItBruce W. Wilson, MDA 48-year old male with loss of balance, headache, nausea, vertigo and dementia.
16 I'll Be Seeing EweValérie Biousse, MD Departments of Ophthalmology and Neurology, Emory University School of MedicineA 15-year old male with headache associated with self-reported black spots in the visual field. Previous history significant for a tumor of the skull Dx Ewing's sarcoma.
17 One More Cause for Optic NeuropathyRuth Huna-Baron, MD, The Goldschleger Eye InstituteA 45-year old male with a 4-week history of right-sided headache and progressive graying of vision OD. Previous history significant for HIV infection and subsequent Dx AIDS due to pneumocystic carinii pneumonia and pulmonary multi-drug resistant tuberculosis.
18 Progressive Visual Loss, Disc Pallor, Gait Dysfunction, and Declining School PerformanceMartin P. KolskyA 12-year old male with a several year history of bi-lateral loss of vision, slurred speech, gait disturbance and declining school performance.
19 The Perils of a SneezeFrancine WeinA 51-year old female with severe left peri-orbital pain and visual loss following a sneeze 3 days earlier. Previous history significant for hypercholesterlemia, osteoporosis and depressive disorder.
20 A Flu-Like IllnessShirley H. Wray, MD, PhD, FRCP, Professor of Neurology Harvard Medical School, Director, Unit for Neurovisual Disorders, Massachusetts General HospitalA 50-year old male with 5-month history of flu-like illness characterized by mild fevers, frequent chills, night sweats, sinus congestion and diffuse myalgias in chest, abdomen, legs and soles of the feet. Three days PTA awoke unable to open his right eye. Diplopia with eye open. Previous history s...
21 Fatal PhentermineJudith E. A. Warner, MD, Moran Eye Center, University of UtahA 47-year old female with a sudden loss of vision and a dilated pupil. Previous history significant for a benign lung mass removed 26 years earlier.
22 An Asynchronous OrbitSteven A. Newman, MD, University of Virginia School of MedicineA 65-year old man with headache and balance associated with episodes of dizziness. Previous history significant for squamous cell carcinoma in situ of the conjunctiva.
23 A Patient with Painful OphthalmoplegiaKenneth D. RappoportAn 80-year old male with left periorbital and temporal pain followed within one day by left ptosis and diplopia. Previous history significant for coronary artery disease, hypertension and abdominal aortic aneurysm.
24 Where It Doesn't BelongMisha Pless, Joseph Rizzo, Michael JosephA 64-year old male with a 2-year history of polycythemia rubra vera developed pain on the left side of his face. Over the next month the pain increased and the left side of his face became paralyzed. Diplopia and left-sided ptosis prompted neuro-ophthalmic referral.
25 Vexing VertigoCheryl L. RayA 50-year old female with a 5-day history of light-headedness, nausea, vomiting and double vision. Diplopia described as binocular and horizontal.
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