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Title | Creator | History |
76 |
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Confusing Diplopia (Presentation Video) | Dan Boghen, MD, FRCPC; Katie Luneau, MD; Isabelle Hardy, MD, FRCSC; Patrick R. Boulos, MD, FRCSC; Julie Falardeau, MD, FRCSC | A 45-year old female with diplopia. |
77 |
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Diabetes Does Not Explain It All | Philip M. Skidd; Joseph F. Rizzo; Florian S. Eichler; Dean Cestari | Systemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression. |
78 |
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Diagnosis of Inclusion (Presentation Video) | Iris Ben-Bassa Mazachi, MD; Jonathan D. Trobe, MD; Mila Blaivas, MD; Lina A. Bieliauskas, PhD; Stephen S. Gebarski, MD | A 50-year old female with a 2-day history of headache and fever found unresponsive at home. |
79 |
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Diplopia, Dysarthria, and Dizziness from Subarachnoid Fat? (Presentation Video) | Neil Miller, MD | A 66-year old female with sudden oblique double vision, isolated left IV nerve palsy and bilateral peripheral vestibular dysfunction. Previous history significant for hypertension, colonic polyps and degenerative joint disease of the spine which required several surgeries. |
80 |
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Diplopic Uveitis - Video | Kinda Najem; Edward Margolin; Pradeep Krishnan | 33 year-old man presented with 3 days of binocular diplopia. Visual acuity was 20/30 OU and pupillary exam was normal. Motility testing demonstrated right partial 3rd nerve palsy (no adduction and limited supraduction with complete ptosis). There were +1/2 anterior chamber cells and few vitreous cel... |
81 |
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Do Not Take Diplopia Lightly (Presentation Video) | William Hills, MD; Judith Warner, MD; Bradley Katz, MD, PhD; Anne Osborn, MD; Steve Chin, MD, PhD; Howard Mann, MD; Sherri Perkins, MD, PhD; David Weinberg, MD, FACS; Kathleen Digre, MD | A 37-year-old female with a 6-week history of diplopia, nausea and headache. Previous history significant for migraine with occasional aura and minor head trauma as a child. |
82 |
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Do You See Mike? (Presentation Video) | Deborah Friedman, MD; Raymond Felgar, MD | A 59-year old male with progressive right facial numbness, right facial pain, diplopia, headache and a 10-pound weight loss. |
83 |
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Don't Drink the Water | Devon Cohen; Muhammad Bhatti; John Chen | A 19-year-old right-handed man presented with a 3 year history of episodic headaches, right hemiparesis, and progressive vision loss OU. Beginning in the fall of 2015, he developed stepwise deterioration in vision OU in association with severe headaches. Initial evaluation at an outside hospital sho... |
84 |
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Don't Give Up Under Pressure (Presentation Video) | Marc Dinkin; Joseph Rizzo III | A 20-year old male with a 6-year history of headache, sometimes accompanied by vomiting and snycope most often brought on by standing up or bending over. Followed by pediatric neurology for a previous diagnosis of migraine. |
85 |
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Don't Ignore the Obvious (Presentation Video) | Zina Almer, MD; Prem Subramanian, MD, PhD | A 51-year old male with bilateral loss of vision. Previous history significant for HIV. |
86 |
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Double Vision? - Give Your Head a Shake | Vivek Patel; Danah Albreiki | 3 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... |
87 |
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Egg in Your Face (Presentation Video) | Padmaja Sudhakar; Jonathan Trobe; Hemant Parmar; Mila Blaivas; Hugh Garton; Cormac Maher; Patricia Robertson; Hilary Grabe | An 8-year old female with a 2-day history of confusion, headache and vomiting. |
88 |
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Every Rose Has Its Thorn | William Anderson; Aseem Sharma; Miguel Guzman; Sophia Chung | A 26-year-old woman presented with a one-year history of horizontal binocular diplopia on far-right gaze. During a routine eye examination for contact lenses, she was found to have a gaze paretic nystagmus on far-right gaze. The patient also offered a one-year history of right-sided instability and ... |
89 |
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Eyes and Bowels Bottled Up - Video | Kristopher Kowal; Jonathan D. Trobe; Theodore T. Brown | A 56 year-old man presented with diplopia and ptosis. Actually he was more concerned about severe constipation that had started about the same time. Abdominal x-rays had shown stool loading; laxatives had been ineffective. Our exam showed bilateral ptosis with complete ophthalmoplegia in both eyes. ... |
90 |
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Fire and Ice | Mary Maher; Joah Aliancy; Gul Moonis; Angela Lignelli; Michael Kazim; Jeffrey Odel | A 14 year-old boy, with ADHD on amphetamine and dextroamphetamine, presented with headache and bilateral decreased vision. Seven days prior, he began experiencing bilateral non-positional frontal headache unresponsive to NSAIDS that did not wake him from sleep. Five days prior, he felt fatigued and ... |
91 |
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Fooled Thrice | Jonathan Micieli; Hui-Kuo Shu; Alessandra Schmitt; Nancy Newman | A 40-year-old healthy man presented with a one-month history of left ptosis and binocular horizontal diplopia. Examination revealed normal afferent visual function. He had left ptosis and there was limitation of elevation, depression, adduction and a dilated, sluggishly reactive pupil in the left ey... |
92 |
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Frizzle Frazzled | Eric 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... |
93 |
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From Brainstem to Stern (Video) | Neena Cherayil; Angela Viane; Grant Liu; Ali Hamedani | A previously healthy 32-year-old man complained of diplopia and one month of worsening positional headaches. He then acutely developed confusion and chills, prompting ER referral. Further history was limited by altered mental status. On presentation, he was afebrile and encephalopathic. Serum WBC wa... |
94 |
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Gee...What's Causing that Pap? - Video | Susan Mollan; Daniel White; Santhosh Nagaraju; Swarupsinh Chavda; Tom Hayton; Saiju Jacob | A 36 year old woman presented with history of Myasthenia Gravis (MG) since the age of 18. She was known to have dry eyes and hypothyroidism. Past surgical history included a thymectomy (age 23 years). The MG had been difficult to control with past medications including corticosteroids, azathioprine,... |
95 |
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Get Me Out of Here; It's Too Crowded (Presentation Video) | Melissa Wang-Ko; Madhura Tamhankar; Nicholas Volpe; Steven Galetta; David Porter; Cindy McGrath | 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. |
96 |
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Giant Step for Mankind (Presentation Video) | Orin Zwick, MD; Kimberly Cockerham, MD, FACS | A 29-year old male with a 2-month history of blurred vision OD, headache and progressive eyelid swelling and expanding mass right temporal region. Previous history significant for chronic renal failure. |
97 |
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Go With Your Gut Feeling | Paul Freund; Ari Shemesh; Gabriella Mankovskii; Ana Pejovic-Milic; David Howarth; Edward Margolin | 71 year-old man noticed a "smudge" in his central vision when reading that was gradually progressing over a year. Medical history was significant for one episode of hemorrhagic colitis requiring colectomy 28 years ago diagnosed as Crohn's disease, atrial fibrillation, and congenital dyschromatopsia.... |
98 |
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Golden Grapes | Heather E. Moss; Sean Zivin; Amy Lin; Vinay Aakalu; Senad Osmanovic; Omar Al Heeti; Stockton Mayer; Mahesh Patel | A 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... |
99 |
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Gone but Not Forgotten | Jonathan Micieli; Adriana Krizova; Walter Montanera | A 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... |
100 |
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Growing Suspicion | Angela M. Herro; Norman J. Schatz; 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... |