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Title | Creator | History |
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A 4-Year Wait | Dmitry Balian, Sachin Kedar, Michaelyn Everhart, Aleh Bobr, Liudmila Muinov | A 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. ... |
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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... |
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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... |
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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... | |
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It's Not the Tumor | Courtney E. Francis | |
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Looking for a Drop of Porcelain - Video | Shannon J. Beres, MD, Grant T. Liu, MD | 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... |
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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. |
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Frizzle Frazzled | Eric D. Gaier, Farrah Rajabi, Anne Fulton, Gyula Acsadi, David Waitzman | An otherwise healthy 12-year-old boy originally from Palestine was referred for refractory papilledema secondary to familial IIH. He has a history of fully accommodative esotropia with onset age 2-3. At age 9, elevated optic nerves prompted a neuro-ophthalmic referral. Best corrected visual acuities... |
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Heart of Darkness - Video | Shira Simon, Shiraaz I. Rahman, John C. Heymann, Bahram Rahmani, Nicholas J. Volpe, MD, Northwestern University | An 18 year-old woman presented to the emergency department in October 2014 with three days of blurred vision in her left eye. Past medical history included a hypoplastic right heart status-post orthotopic heart transplant at 2 months of age, chronic kidney disease with BK viremia since 12 years of a... |
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Get Me Out of Here; It's Too Crowded (Presentation Video) | Melissa W. Ko, MD, FAAN, CPE | A 54-year old female with 6-week history of progressive deteriorating vision OU, headache and pain associated with eye movement. Previous history significant for multiple sclerosis. |
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Muscle Bound or Unbound? | Dane A. Breker, Jonathan Daniel Trobe, MD, Michigan University, Ann A. Little, Sandra I. Camelo-Piragua | |
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‘Tis Nobler in the Mind to Suffer... Or to Take Arms Against a Sea of Troubles and by Opposing End Them? (Hamlet act 3, scene 1) (Presentation Video) | Heather E. Moss | 41-year old female with a shadow over the left eye. |
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A Star is Born (MRI) | Nadia Kazim, MD, FACS, Kazim Eyelid Surgery | A 47-year old female with persistent painless blurred vision OD preceded by peri-orbital headache. Previous history significant for anemia and arthritis. SH: Positive for tobacco use (1 PPD x 30yrs). |
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A Star is Born (Presentation Video) | Nadia Kazim, MD, FACS, Kazim Eyelid Surgery | A 47-year old female with persistent painless blurred vision OD preceded by peri-orbital headache. Previous history significant for anemia and arthritis. SH: Positive for tobacco use (1 PPD x 30yrs). |
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A Nod to the Nodule | Natalie Brossard, Kirill Zaslavski, Laila Al-Shafai, David Munoz, Edward Margolin | A 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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Bright Meninges; Dim Doctors (Presentation Video) | Valérie Biousse, MD Departments of Ophthalmology and Neurology, Emory University School of Medicine | A 32-year old male with headache and diplopia. |
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Her XT Made Me Go ET (Presentation Video) | Norah S. Lincoff MD, University at Buffalo | A 16-year old female with a 10-year history of headache and progressive loss of vision OD. |
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MacKenzie's Legacy (Radiology CT) | Elena, R. Drudy, MD, Meridian Health | A 55-year old female with a 4-year history of seeing yellow light to the right accompanied by a 1-year history of bifrontal headache. |
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MacKenzie's Legacy (Radiology CT 2) | Elena, R. Drudy, MD, Meridian Health | A 55-year old female with a 4-year history of seeing yellow light to the right accompanied by a 1-year history of bifrontal headache. |
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Mackenzie's Legacy (Presentation Video) | Elena, R. Drudy, MD, Meridian Health | A 55-year old female with a 4-year history of seeing yellow light to the right accompanied by a 1-year history of bi-frontal headache. |
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A 29-Year Old Woman with Bilateral Visual Loss, Amenorrhea and Hyperprolactinemia (Presentation Video) | M. Tariq Bhatti, MD, Duke Health | A 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. |
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Rectifying the Apposite Diagnosis (Presentation Video) | Beau Bruce, MD, PhD, Emory University | A 65-year old male with a 6 week history of progressive balance difficulties, bilateral hearing loss and loss of vision OD. Previous history significant for hypertension and rectal cancer Tx surgery, antineoplastic agents and XRT. |
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Invasion of the Nerve Snatchers, Part III (MRI) | Donna L. Hill, MD, UFJP-Neuroscience Institute | A 45-year old male with a 3-day history of worsening headache and double vision. |
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Invasion of the Nerve Snatchers, Part III (Presentation Video) | Donna L. Hill, MD, UFJP-Neuroscience Institute | A 45-year old male with a 3-day history of worsening headache and double vision. |
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Blurry Vision (Presentation Video) | Donna L. Hill, MD, UFJP-Neuroscience Institute | A 50-year old female with with bi-frontal headache and blurred vision OU. Previous history significant for hyperlipidemia and gastroesophageal reflux disease. |