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TitleCreatorHistory
101 Nobody's PerfectAlexander Ksendzovsky, Steven A. Newman, MD, 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...
102 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...
103 Some Like it HotAhmara G. Ross, Islam M. Zaydan, Gabrielle R. Bonhomme, Ellen B. Mitchell, Tarek A. Shazly, Deborah C. ParishA 71 year old Caucasian man with a past medical history of hypertension, hyperlipidemia, Type 2 DM, ESRD status post renal transplant, facial melanoma, currently on ASA for a stable left sided putaminal hemorrhage presented with new right sided ptosis and lower extremity weakness. Brain MRI obtained...
104 Requiem for a Cabinet MakerJennifer I. Doyle, Michael S. Vaphiades, MD, University of Alabama, James R. Hackney, Lanning B. Kline, Lina NagiaA 54-year-old white male presents with 3 weeks of painless horizontal nystagmus and 6 months of left sided forehead numbness. He reports a 20 lbs weight loss. Medical history includes a renal transplant 30 years prior. He takes prednisone 30 mg QOD and azathioprine. Visual acuity is 20/20 OU, color ...
105 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...
106 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...
107 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...
108 SpeakeasyJoseph G. Chacko, MD, University of Arkansas, Marcus W. Moody, Harry H. Brown, Sarkis M. NazarianA 64 year-old Caucasian gentleman presented with an unusual complaint. He stated that if he touched the inside of his right cheek with his tongue, he felt a tingly sensation in his R eyebrow. This had started one month ago. He also complained of foreign body sensation and discomfort in the right eye...
109 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...
110 Joe & Jerry Flew the CoopLulu LCD Bursztyn, MD, Ivey Eye Institute; Dane A. Breker, MD, Sanford Neuroscience Clinic; Andrew W. Stacey, MD, University of Washington Medicine; Ashok Srinivasan, MBBS, University of Michigan; Mark W. Johnson, MD, Kellogg Eye Center; Jonathan Daniel Trobe MD, Michigan UniversityA previously healthy 13-year-old girl presented to a local hospital with fever and myalgia, followed one day later by lethargy and vision loss. Past medical history was significant only for acne, for which she had been treated with doxycycline 40 mg/day intermittently starting 2 months prior to symp...
111 The Man with No Face (About Face)Michael S. Vaphiades, MD, University of Alabama; Jennifer I. Doyle, MD, Little Rock Eye Clinic; Lina Nagia, MD, Michigan State University; Kevin J. Bray, MD, Providence Health; Lanning B. Kline, MD, University of Alabama; Glenn H. Roberson, MD, University of Alabama; Adam E. Quinn, MD, Baptist Healt...A 61-year-old man presented with one week history of decreased vision OS. Past medical history includes asthma and amblyopia OD, but with complete visual loss OD 18 years prior. He takes no medications. He is retired but worked for 21 years in social science research. The remarkable thing upon meeti...
112 Ataxia at the Masquerade BallKrista 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...
113 It's Not the TumorCourtney E. Francis
114 Blame it on the PillSachin S. Kedar, Padmaja Sudhakar, Stuart Tobin, William O. Connor, Fernando DecastroThree 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.
115 Muscle Bound or Unbound?Dane A. Breker, Jonathan Daniel Trobe, MD, Michigan University, Ann A. Little, Sandra I. Camelo-Piragua
116 Renal Red HerringJohn J. Chen, John J. Brinkley, Namrata Singh, Amanda C. Maltry, Bruno A. Policeni, Richard C. Allen, Reid A. Longmuir, Matthew J. ThurtellWegener's Granulomatosis
117 Is it a Crime to be Blind? I plead the 4th!Jasmine Gopwani, Edward Margolin, Tran Le, Wayne T. Cornblath, MD, Clinical Professor, Ophthalmology and Visual Sciences, Professor, Department of Neurology, University of Michigan, Rasmus Kiehl
118 I Can't Stand the Double VisionIris B. B. Mizrachi, Ruth Huna-Baron, Rivka Inzelberg, Yonathan SharabiUncontrolled hypothyroidism.
119 A Candid Look at a Missed DiagnosisEdward Margolin, Jasmine Gopwani, Robert WillinskyShe was diagnosed with migraine, stress, and "drug seeking" presumed from a history of past (intravenous?) heroin use.
120 Almost CatastrophicDanielle S. Rudich, Samuel Yun, Anne Liebling, Jonathan E. SIlbert, 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
121 A TAAD Bit UnusualNisreen K. Mesiwala, Susan T. Stefko
122 Innocent until Proven GuiltyHeather E. Moss, Tiffany Stroup, Amy Lin, Oliver Graf, Jeffrey Borgeson, Aaron Halfpenny, Howard Lipton, Tibor G. Valyi-Nagy
123 More Than a Cu-bit of Vision LossPhilip M. Skidd, Rebecca C. Stacy, Waqar Waheed, Mohamed-Ali Babi
124 Much-Ado About Acute Vision LossMahsa A. Sohrab, Andrea Birnbaum, Michael Sidiropoulos, Lois Polatnick, Nicholas J. Volpe, MD, Northwestern UniversityProgressive fatigue and right face, arm, and leg pain.
125 Burned by DiplopiaBonnie M. Keung, Reuben M. Valenzuela, Meena Gujrati, Jeffrey R. DeSanto, Jorge C. Kattah, John H. PulaIn March 2012 he sustained a concussion and forehead laceration from a motor vehicle accident. In August 2012, he developed painless, binocular, vertical diplopia, which limited him from painting art. In November 2012, his examination showed -2 limitation of up-gaze OD.
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