NOVEL - Frank B. Walsh Collection
 
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TitleCreatorHistory
51 Oh My GAD!! Something Else?Olwen Murphy, Kemar Green, John Probasco, Daniel GoldA 43 -year-old man presented with oscillopsia, dizziness, binocular vertical diplopia, and gait difficulties. He reported a six-month history of abdominal pain, anorexia and 50-pound weight loss, and a 3-month history of mood and cognitive changes. Torsional nystagmus, a left 4th nerve palsy (NP), u...
52 Never Too Young or Too OldBart Chwalisz, Laurel Tainsh, Mary Maher, Samantha Champion, Shuhei Nishiyima, Michael LevyAn 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, ...
53 Gone but Not ForgottenJonathan Micieli, Adriana Krizova, Walter MontaneraA 52 -year-old healthy woman presented with a 1-week history of blurred vision and "soreness" in her left eye. Neuro-ophthalmic examination revealed a visual acuity of 20/20 OD, 20/40 OS, left RAPD and left superior arcuate defect on Humphrey visual field testing. Dilated fundus examination demonstr...
54 A Small Leak Will Sink a Great ShipKonstantinos Douglas, Vivian Paraskevi Douglas, Cameron Sadegh, David Chow, Sigurros Davidsdottir, Ganesh Shankar, Bradley Buchbinder, Bart ChwaliszA 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...
55 Orbiting a DiagnosisDaniel Liebman, Daniel Lefebvre, Emily Tam, Marie Lithgow, Bart Chwalisz, Eric Gaier, Joseph KaneA 75 -year-old male with a history of chronic/small lymphocytic leukemia (CLL/SLL) presented for one day of left retro-orbital headache, painful eye movements, eyelid swelling, and diplopia. One week prior, his WBC count was 39.9 K/uL with 86% lymphocytes. Three days prior to presentation, the patie...
56 'X' Marks the SpotLuis Andre Leal Ferman, Leslie Bruch, John Buatti, Jeremy GreenleeThis 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...
57 Sometimes a Biopsy is BestKevin Chodnicki, Natalie Wolkow, Michael Yoon, Bart ChwaliszA 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...
58 A Definite MaybeRaghu C. 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...
59 The Relationship Between PDE-5 Inhibitors and NAIONHoward D. Pomeranz, MDSildenafil was first synthesized by pharmaceutical chemists working at Pfizer. It was initially studied for use in hypertension and angina. Phase I clinical trials suggested that the drug had little effect on angina but could induce penile erection. Sildenafil (Viagra®) was patented in 1996 and app...
60 Hard to Get (Presentation Video)Ruth Huna-Baron, MD, The Goldschleger Eye InstituteA 77-year old male with headache and visual loss OD. Previous history significant for hypertension, ischemic heart disease, basal cell carcinoma and invasive transitional cell carcinoma Tx cystectomy and chemotherapy.
61 Highly Impossible (Follow-Up MRI Axial)William A. Fletcher, MD, Departments of Clinical Neurosciences & Surgery, University of CalgaryA 4-year old male with a 1 1/2-year history of visual loss OU. Previous history significant for macroencephaly.
62 Highly Impossible (Original MRI)William A. Fletcher, MD, Departments of Clinical Neurosciences & Surgery, University of CalgaryA 4-year old male with a 1 1/2-year history of visual loss OU. Previous history significant for macrocephaly.
63 Highly Impossible (Presentation Video)William A. Fletcher, MD, Departments of Clinical Neurosciences & Surgery, University of CalgaryA 4-year old male with a 1 1/2-year history of visual loss OU. Previous history significant for macrocephaly.
64 Double Vision? - Give Your Head a ShakeVivek Patel, Danah Albreiki3 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...
65 Spots, Spots Everywhere, And Not A Spot To SeeSarkis M. Nazarian, Kelli Y. Shaon, Kenneth R. Habetz, Ayman Al-Salaimeh, John D. Schwankhaus, Joseph G. Chacko, MD, University of ArkansasAdditional history revealed that the patient had suffered a tick bite about two weeks prior to the onset of his rash.
66 Klinging to My Failing Corneas (Presentation Video)Vivek PatelA 46-year old female with a 10-year history of bilateral scleritis and peripheral ulcerative keratitis secondary to presumed rheumatoid arthritis.
67 Back to the Doctor (Presentation Video)Benjamin OsborneA 46-year old male with changes in vision. Previous history significant for diskectomy/laminectomy L4-5, diabetes, hyperlipidemia and hypertension.
68 An Unusual ‘Optic Neuritis' (Presentation Video)Manoj ParulekarA 37-year old female with a history of sudden onset of "darkness" in the lower visual field OS.
69 Just Another Sixth Nerve Palsy in a Teenager (Presentation Video)Julio A. RodriguezA 17-year old female with a sudden onset of diplopia, left peri-orbital pain. Previous history significant for bronchial asthma and sinusitis.
70 A Bad Place To Be (Presentation Video)Judy I. OuA 6-year old female with a 1-week history of headache, right-sided ptosis and painful ophthalmoplegia with diplopia.
71 A Wolf in Bear's ClothingPeter W. MacIntosh, Agatha Bogard, Pete Setabutr, Heather E. MossAn 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...
72 Poor Visual Recovery Following Treatment of Panuveitis in a 62 Year-old Man with Biopsy-proven Sarcoidosis (Presentation Video)Jeffrey GelfandA 62-year old male with blurred vision OS, progressive gait instability, episodic falling and confusion. Previous history significant for LP that revealed meningitis and lung and hilar lymph node biopsies that demonstrated sarcoidosis.
73 Many Small Lesions, One Big Problem - VideoHarsh V. Gupta, Tuhin Virmani, Rohan Samant, Murat Gokden, Sarkis M. Nazarian, Joseph G. Chacko, MD, University of ArkansasA 73-year old hypertensive and hyperlipidemic man presented with 18 months of horizontal diplopia, worse at distance and gaze right, oscillopsia on left head turn, and unsteady gait. Six months prior to consult, he developed dysphagia, worse with liquids, and recurrent falls forced him to use a walk...
74 Golden GrapesHeather E. Moss, Sean Zivin, Amy Lin, Vinay Aakalu, Senad Osmanovic, Omar Al Heeti, Stockton Mayer, Mahesh PatelA 71 year-old African American woman presented with a painful right retrobulbar optic neuropathy and weight loss. ESR was 74. She was treated with steroids. Temporal artery biopsy did not show arteritis. Nine days later, while on a steroid taper, she developed fevers, worsening right eye vision, pto...
75 A Bad Case of Sinusitis (Presentation Video)Alex FraserA 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.
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