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Title | Creator | History |
226 |
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Orbiting a Diagnosis | Daniel Liebman, Daniel Lefebvre, Emily Tam, Marie Lithgow, Bart Chwalisz, Eric Gaier, Joseph Kane | |
227 |
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Never Too Young or Too Old | Bart Chwalisz, Laurel Tainsh, Mary Maher, Samantha Champion, Shuhei Nishiyima, Michael Levy | An 81-year-old woman with history of ocular myasthenia gravis presented with sequential bilateral vision loss. Six days before presentation, she discovered that vision of her left eye was reduced to light perception. She did not have any eye pain, pain with eye movement, headache, scalp tenderness, ... |
228 |
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A Definite Maybe | Raghu C. Mudumbai, Alex Solomon | 73 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... |
229 |
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Sometimes a Biopsy is Best | Kevin Chodnicki, Natalie Wolkow, Michael Yoon, Bart Chwalisz | A 30 -year-old pregnant woman without significant medical or ocular history presented with decreased right eye vision. In her 2nd trimester, she was diagnosed with Lyme disease with a bulls-eye rash and positive Lyme antibodies; she was treated with two weeks of amoxicillin. At 33 weeks pregnant she... |
230 |
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"X" Marks the Spot | Luis Andre Leal Ferman, Leslie Bruch, John Buatti, Jeremy Greenlee | This 24 year-old man presented with several months of progressive visual loss in both eyes. His past medical, surgical and ocular history was unremarkable. There was no family history of phacomatosis. He complained of occasional binocular diplopia, but denied headaches or any other neurological symp... |
231 |
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A Small Leak Will Sink a Great Ship | Konstantinos Douglas, Vivian Paraskevi Douglas, Cameron Sadegh, David Chow, Sigurros Davidsdottir, Ganesh Shankar, Bradley Buchbinder, Bart Chwalisz | A 68 -year-old right -handed man presented for evaluation of progressive and fluctuating polyopia, gait instability and cognitive changes of about 14 months. Prior medical history was notable for Crohn's disease in remission, atrial fibrillation, a single episode of aseptic meningitis 12 years prior... |
232 |
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It AIONT AION (PowerPoint) | Norah S. Lincoff MD, University at Buffalo | A 62-year old female with a 1-week history of spots moving in front of both eyes as well as haziness and an aura in front of the right eye. |
233 |
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It AIONT AION | Norah S. Lincoff MD, University at Buffalo | A 62-year old female with a 1-week history of spots moving in front of both eyes as well as haziness and an aura in front of the right eye. |
234 |
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Pseudo-Pseudotumor Cerebri? | Etienne Benard-Seguin, Abdullah Al-Ani, Kris Langdon, Rajiv Midha, Paula de Robles, Fiona Costello | A 23-year-old female to male transgender patient (BMI=30) on testosterone therapy presented to the urgent clinic with; bilateral disc swelling and preserved optic disc function (Figure 1a-1b). He had a 5 day history of general malaise. Past; medical history was pertinent for scoliosis surgery at age... |
235 |
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The Nidus of the Neuropathy | Heather McDonald, Adrian Budhram, J Alexander Fraser, Lulu LCD Bursztyn | A 57-year-old female presented with a one-year history of paresthesias, gait instability, slurred speech, peripheral; numbness, and fatigue. A non-contrast CT Head showed lower density in the corpus callosum. Follow-up MR Head showed; T2/FLAIR hyperintensity and diffusion restriction in the splenium... |
236 |
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An Apple a Day | Joseph Fong, James O'Brien, Anil Patel | A 73-year-old female presented with a 4-month-history of gradually worsening binocular oblique diplopia, right upper; eyelid ptosis, right-sided facial weakness, and facial pain and paresthesia in the right V1 and V2 distribution. She presented; with a prior diagnosis of trigeminal neuralgia as a re... |
237 |
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The Inconspicuous Cysts | Lily Zhang, Folusakin Ayoade, Julio Diaz Perez | A previously healthy 40-year-old male, with a past medical history significant for latent tuberculosis s/p treatment 15 years; ago, presented with blurry vision and progressively worsening headaches for 6 months. He was originally from Guatemala; and moved to the US in 2001 (crossed the deserts thro... |
238 |
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Thinking Outside of the Lines | Carleigh Bruce, Thomas Clark, Gregory Griepentrog, Andrea Stahulak, Mariam Ratiani | A 61-year-old male with past medical history of long-standing cocaine abuse presented with ten days of painless acute; vision loss in his right eye (OD). Initial exam revealed a visual acuity (VA) 20/100 OD, relative afferent pupillary defect; (rAPD) OD, dyschromatopsia OD, hypertropia with impaired... |
239 |
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Double Crossed | Jeffrey Gluckstein, Melanie Lang-Orsini, Joseph Rizzo | A 58-year-old man presented for the development of new stabbing headaches and blurry vision in the right eye. Over; several months, his symptoms progressed to "smudging" of his temporal field in the right eye, difficulty separating similar; colors, and binocular horizontal diplopia worse at near. Me... |
240 |
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All in the Family | Homer Chiang, Shannon Beres | A previously healthy 2-year-old male presented to neuro-ophthalmology clinic for a head turn that started 1.5 months ago; and his left eye began turning in over the last 2 weeks. He had no recent infections, vaccinations, or illnesses. With the birth; of his new baby sister 6 weeks prior the family ... |
241 |
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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... |
242 |
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Brain Drain Strain | John Kerrison, MD, Retina Consultants of Charleston | A 55-year old female with complaints of bilateral blurred vision, headaches and general malaise of a 1-year duration. Previous history significant for left occipital dural arteriovenous malformation, cerebral hemorrhage and left hemiplegia. |
243 |
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Parieto-occipital Mass 1 Year After Painful Permanent Acute Optical Neuropathy | Jeffrey G. Odel, MD, Columbia University Medical Center | A 46-year old male with painful loss of vision OS. Previous history significant for ambylopia OS. |
244 |
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Upbeat Nystagmus | James R. Keane, MD, University of Southern California Medical Center | Case 1: An 18-year old black female with a 3-month history of tender, swollen fingers. Case 2: A 79-year old female with headache and generalizaed numbness. |
245 |
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Déjà Vu All Over Again | James R. Keane, MD, University of Southern California Medical Center | A 25-year old female with a 1-month history of headache, blurred vision, intermittent dragging of the left leg, and a reversal of personality from demure to jocular and flippant. |
246 |
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Two Sixes are Hard to Swallow | M. Tariq Bhatti, MD, Duke Health | A 60-year old male with hoarseness and headaches attributed to a viral illness developed binocular, horizontal diplopia. |
247 |
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Attack of the Clones | M. Tariq Bhatti, MD, Duke Health | A 61-year old female with a sudden onset of left-sided weakness and numbness. |
248 |
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Tell-Tale Third | M. Tariq Bhatti, MD, Duke Health | A 30-year old female with a 1-day history of binocular diplopia associated with pain over the left eyebrow. |
249 |
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An Oculocerebral Nightmare | M. Tariq Bhatti, MD, Duke Health | A 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. |
250 |
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A 29-Year Old Woman with Bilateral Visual Loss, Amenorrhea and Hyperprolactinemia | 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. |