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1 Vertical Gaze Palsy and Fever in a 53 Year-Old, HIV-Positive Man; (Presentation Video)Nicholas J. Volpe, MD; Gil Binenbaum, MD; Jane Z. Portnoy, MDA 53-year old male with a 2-day history of vertical, binocular diplopia accompanied by worsening headache, slurred speech, unsteady gait and right face, arm and leg numbness the week previous. Previous history significant for HIV infection, hepatitis B and C and Hodgkin's lymphoma.
2 19-year-old Man with Dizziness and Blackout Spells (Presentation Video)Neil R. Miller, MD; Jaishri Blakeley, MDA 19-year old male with history of bizarre behavior, dizziness and black-out spells. Initial manifestation a self-described head rush followed by a black-out spell while at work. 2 months later, patient developed a right facial droop and expressive aphasia.
3 A 28 Year-Old Male with Progressive Vertical Diplopia (Presentation Video)Mark Gans MD; Edward Margolin, MDA 28-year old male with a 4-month history of double vision. Previous history significant for hypercholesterolemia subsequently responding to diet control.
4 A 28 Year-Old Man with Visual Loss and Pain on Eye Movement (Presentation video)Mark Moster, MDA 28-year old male with loss of vision OS associated with soreness on eye movement over an 8-day period.
5 A 29-Year Old Woman with Bilateral Visual Loss, Amenorrhea and Hyperprolactinemia (Presentation Video)M. Tariq Bhatti, MD; Steven Roper, MD; Charles G. Maitland, MD; Anthony Yachnis, MDA 29-year old female with episodic complete loss of vision followed by a progressive decline in vision OU. Previous history significant for miscarriage, amenorrhea, excessive thirst, joint pain and decrease in hearing AS.
6 A 4-Year WaitDmitry Balian; Sachin Kedar; Michaelyn Everhart; Aleh Bobr; Liudmila MuinovA 64 year old male with past history of hypertension, arthritis and chronic headache developed transient tingling and numbness of his left face in February 2016 and was diagnosed to have 'trigeminal neuralgia'. Two months later, he presented to the ED with sudden onset of binocular tilted diplopia. ...
7 A 48 Year-Old Man with Loss of Vision OD (Presentation Video)Joseph G. Chacko, MD; Byron L. Lam, MDA 48-year-old male with blurred vision and pain associated with eye movement OD.
8 A 68-Year Old Woman with New Onset Vertical Diplopia and Pain (Presentation Video)Jennifer T. Scruggs; Michael Kazim, MD; Jeffrey G. OdelA 68-year old female with mild headache and diplopia. Previous history significant for thyroidectomy.
9 A Bad Case of Sinusitis (Presentation Video)Alex Fraser; Alain Proulx; Simon LevinA 17-year old male with Crohn's disease maintained on azathioprine and prednisone developed abdominal pain and bloody stools eight days after prednisone taper. NG flushes produced cold pressure sensation behind right eye, photophobia and headache.
10 A Bad Place To Be (Presentation Video)Judy I. Ou, MD; Joyce Liao, MD, Ph.D; Timothy J. Mc Culley, MDA 6-year old female with a 1-week history of headache, right-sided ptosis and painful ophthalmoplegia with diplopia.
11 A Bright Spot Causing Darkness (Presentation Video)Thomas HwangA 20-year old male with a 2-week history of headache and blurred vision.
12 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.
13 A Case of Bilateral Optic Nerve Atrophy (Presentation Video)Thomas N. Hwang, MD; Timothy J. McCulley, MDA 2 1/2-year old male with bilateral optic atrophy, multi-system abnormalities, tonic-clonic seizures, spastic paresis, sensorineural hearing loss and ataxia.
14 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...
15 A Case of Net Visual Loss and Gain (Presentation Video)Thomas Slamovits; Jerome Posner; Diane Reidy; Charles Thirkill; John KeltnerA 68-year old female with a sudden loss of vision OU. Previous history significant for anemia, presumed by patient to account for her presenting symptoms.
16 A Case of Progressive Orbital Cellulitis in an Immunocompetent Patient - VideoCinthi Pillai; Ivana Vodopivec; Daniel Lefebvre; Frederick Jakobiec; Joseph RizzoA 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...
17 A Case of Recurrent Encephalopathy, Seizures, and Retinopathy (Presentation Video)Ryan Walsh; Michael Stewart; Paul BrazisA 45-year old male with right hemisphere encephalitis and a Dx of macular degeneration at age 43. Previous history significant for a learning disability and a complex partial seizure disorder diagnosed 20 years earlier subsequently managed with an anti-epileptic.
18 A Definite MaybeRaghu Mudumbai; Alex Solomon73 yo man French-Canadian presented to our institution for another opinion for a long standing diagnosis of Oculopharyngeal Dystrophy given at an outside institution. 17 years ago, the patient developed unfluctuating double vision that progressed to include severe, unfluctuating ptosis and mild dysp...
19 A Golf and Shopping Hazard (Presentation Video)Steven J. Yoon; Mitchell B. Strominger; Thomas R. Hedges IIIA 69-year old male with scalp tenderness, headache and loss of vision OD. Previous history significant for chronic sinusitis and bronchitis.
20 A Lebanese Woman with Progressive Visual Loss; presentation videoGregory van StavernA 69-year old female with progressive loss of vision OD.
21 A Long and Winding Road (Presentation Video)Christopher Glisson; Sashank Prasa; Edward Lee; Steven GalettaA 42-year old male with headache and vision loss OD. Previous history significant for blurred vision OS.
22 A Man with Horner's Syndrome and Optic Neuropathy (Presentation Video)Hideki Chuman, MD; Jonathan D. Trobe, MDA 48-year old male with sudden onset of painless blurred vision OD. Previous history significant for diabetes and hypertension.
23 A Mercurial Course (Presentation Video)Melissa W. Ko, MD; Sashank Prasad, MD; Edward Lee, MD; Nicholas Gonatas, MD; Matthew Stern, MD; Steven Galetta, MDA 61-year old male with a 9-month history of progressive diplopia, dysarthria, ataxic gait, worsening memory impairment, anxiety depression, sleep disturbances and a 30-pound loss of weight.
24 A Night at the Met - VideoClotilde Hainline; Janet C. Rucker; David Zagzag; Yvonne W. Liu; Floyd A. Warren; Laura J. Balcer; Steven L. GalettaA 73-year old woman with no headache history presented to the emergency department with several days of right-sided, retro-ocular, and vertex headaches and inability to see the left side of the TV screen-- all beginning 1 week after cataract surgery. Evaluation by her ophthalmologist was unrevealing...
25 A Nod to the NoduleNatalie Brossard; Kirill Zaslavski; Laila Al-Shafai; David Munoz; Edward MargolinA 67-year-old man presented to emergency department in March'21 with 6hours h/o fever, headache, confusion, right- sided weakness and urinary incontinence. He had h/o hypertension, rheumatoid arthritis, spinal stenosis and was taking etanercept/leflunomide/sulfasalazine. Non-contrasted CT showed lef...
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