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TitleCreatorHistory
26 Blame it on the PillKedar, Sachin S; Sudhakar, Padmaja; Tobin, Stuart; Connor, William O; Decastro, FernandoThree 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.
27 Double Vision? - Give Your Head a ShakePatel, Vivek; Albreiki, Danah3 month history of constant binocular oblique diplopia with mild worsening, progressive disequilibrium, and a wide based gait. No vertigo, loss of coordination, loss of vision or oscillpsia, hearing loss, or tinnitus. No history of cancer, hypothyroidism, GI malabsorption or anemia. Occupational his...
28 Is it a Crime to be Blind? I plead the 4th!Gopwani, Jasmine; Margolin, Edward; Le, Tran; Wayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of Michigan; Kiehl, Rasmus
29 Much-Ado About Acute Vision LossSohrab, Mahsa A; Birnbaum, Andrea; Sidiropoulos, Michael; Polatnick, Lois; Nicholas J Volpe, MD, Northwestern UniversityProgressive fatigue and right face, arm, and leg pain.
30 Diabetes Does Not Explain It AllSkidd, Philip M; Joseph F. Rizzo III, M.D.; Eichler, Florian S; Cestari, Dean MSystemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression.
31 It's Deja Vu All Over AgainAntonio-Santos, Aileen A; Phillips, Yanny L; Khatib, Baha El; Chang, Howard T; David I. Kaufman, DO, Chair, Neurology & Ophthalmology, Michigan State University; Eric R. Eggenberger, DO, Mayo Clinic
32 Raise Your Grade Point AverageGrabe, Hilary M; Myers, Jeffrey L; Quint, Douglas J; Elner, Victor M; Jonathan Daniel Trobe MD, Michigan UniversityTwo years earlier, he had had persistent hearing loss in the left ear attributed elsewhere to infection. One year later, he developed left facial weakness diagnosed as Bell's palsy, treated with corticosteroids without recovery. A few months later, he became hoarse and had difficulty swallowing.
33 Muscle Bound or Unbound?Breker, Dane A; Jonathan Daniel Trobe MD, Michigan University; Little, Ann A; Camelo-Piragua, Sandra I
34 Ataxia at the Masquerade BallKinard, Krista I; Crum, Alison V; Judith E.A. Warner, MD, Moran Eye Center, University of Utah; Katz, Bradley J; Sonnen, Joshua A; Palmer, Cheryl A; Osborn, Anne G; DeWitt, L Dana; Kathleen B. Digre, MD, Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye Cen...
35 A Wolf in Bear's ClothingMacIntosh, Peter W; Bogard, Agatha; Setabutr, Pete; Moss, Heather EAn eleven-month-old African-American girl with medical history of reactive airway disease developed a bump and bags under both eyes which her mother attributed to minor trauma. There were no signs of systemic illness. A week later, her mother noticed more prominent right eye edema and a new bump beh...
36 An Ironclad Case of Vision LossDinkin, Marc J; Parlitsis, George; Patel, Sarju; Merkler, Alexander E; Schuetz, Audrey; Oliveira, CristianoSyphilis; CMV Retinopathy
37 I Can't Stand the Double VisionMizrachi, Iris BB; Huna-Baron, Ruth; Inzelberg, Rivka; Sharabi, YonathanUncontrolled hypothyroidism.
38 Almost CatastrophicRudich, Danielle S; Yun, Samuel; Liebling, Anne; Silbert, Jonathan E; Robert 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 Medicine
39 A Shot in the DarkJoshua Pasol; Ricardo J. Komotar; Faisal YamaniA 74 year-old man with a chief complaint of difficulty with night time driving for several years as well as difficulty going from a lighted room to a dark room. PMH of high cholesterol, BPH, hypothyroidism, GERD, glottic squamous cell cancer without recurrence, and a prior history of alcoholism. POH...
40 I Can't See StraightSteven A. Newman; T. Ben AblemanIn May of 2014 this 30 year old right handed patient was referred for consultation regarding diplopia and dizziness. The patient relates that she had been told that she had "tired eyes" as a child. Two and a half years ago she began to have intermittent exodeviation. She was seen locally and diagnos...
41 Hiding and Out of SightMichael M. Morgan; Sumayya J. Almarzouqi; Patricia Chevez-Barrios; Amina I. Malik; Andrew G. LeeA 75-year-old white woman presented with a history of biopsy-proven giant cell arteritis (GCA) presented with recurrence of severe left sided headaches and left global ophthalmoparesis for 4 days. GCA had been diagnosed 4 months prior by biopsy. Left eye vision loss occurred when an outside physicia...
42 Using MuscleNagham Al-Zubidi; John E. Carter; Bundhit Tantawongski; Patricia Chevez-Barrios; Lyndon Tyler; Constance L. FryA 30- year-old Saudi female student with no past medical history presented an eight month history of progressive blurred vision primarily at near, anisocoria OS, and periocular discomfort with eye movements. Neuro-Ophthalmologic examination revealed best corrected visual acuity of OD 20/20 and OS 20...
43 Shady Double CrosserFrancine B. WeinHistory & Exam A 62-year-old woman presented with a one-month history of severe light sensitivity and headache, and a two week history of diplopia. Her photophobia was severe enough for her to wear sunglasses indoors. Her past medical history was significant for a cholecystectomy and Crohn's disease...
44 It's Not Just a FAD (EHR Fatigue Syndrome)Jacqueline A. Leavitt; John J. Chen; Diva R. SalomaoA 29 year-old female nurse, nine months postpartum, presented with an inability to see her computer well for the past two months. She denied eye pain, diplopia, numbness, tingling or weakness. There were no changes in vision in bright vs. dim lighting. She also had a headache at the back of her head...
45 Who Deserves a Second Chance?Lina Nagia; Jennifer I. Doyle; Lanning B. KlineAn 81-year-old woman presents with a one-month history of blurred vision OS, acutely worse in the past 5 days. She reports pain with left gaze, left sided forehead tenderness and some weight loss. Medical history includes hypertension, borderline diabetes, cerebral vascular accident and basal cell c...
46 Lights OutJohn J. Brinkley; John J. Chen; Patricia A. Kirby; Reid A. Longmuir; Matthew J. ThurtellA 78 year-old man presented with a one-month history of progressive painless binocular vision loss. He had sustained head trauma without loss of consciousness three days prior to the onset of vision loss. On the morning of his presentation to us, he had awoken with complete binocular vision loss and...
47 Nobody's PerfectAlexander Ksendzovsky; Steven A. Newman, M.D., University of Virginia School of MedicineIn June of 2006 an 8 year old patient was referred for evaluation. Apparently at age 1 ½ she had developed headaches and was found to have a posterior fossa tumor. In El Salvador she was treated with shunting and chemotherapy plus radiation therapy for presumed medulloblastoma. She underwent a shun...
48 Under PressureNathan H. Kung; Collin M. McClelland; Gregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of MedicineA 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...
49 Three Weeks in FloridaAndrew R. Carey; J. Antonio Bermudez-Magner; Sander R. Dubovy; Norman J. Schatz, M.D., Bascom Palmer Eye Institute; Linda L. Sternau; Byron L. LamA 36 year-old man presented with severe headaches, bilateral leg numbness, and bilateral decreased vision. He was born in Ecuador where he received BCG vaccination and immigrated to US at age 19. In 2005 he enrolled in nursing school and volunteered in homeless shelters. PPD was positive with a nega...
50 Growing SuspicionAngela M. Herro; Norman J. Schatz, M.D., Bascom Palmer Eye Institute; Linda L. Sternau; John R. Guyloss 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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