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TitleCreatorHistory
101 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...
102 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...
103 A Weak PresentationReuben M. Valenzuela, Bradley J. Katz, Alison V. Crum, Kathleen B. Digre, Nick Mamalis, Hans C. Davidson, Judith E. A. Warner, MD, Moran Eye Center, University of UtahAn 82-year-old right-handed man with myasthenia gravis presented in May 2014 with double vision and right facial numbness and weakness. He was first seen in 1998 with horizontal diplopia. He had an abduction deficit of the right eye, and right nasolabial fold flattening. He was diagnosed with myasth...
104 Three Weeks in FloridaAndrew R. Carey, J. Antonio Bermudez-Magner, Sander R. Dubovy, Norman J. Schatz, MD, 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...
105 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 ...
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 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...
108 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...
109 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...
110 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...
111 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...
112 It's Not the TumorCourtney E. Francis
113 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.
114 Muscle Bound or Unbound?Dane A. Breker, Jonathan Daniel Trobe, MD, Michigan University, Ann A. Little, Sandra I. Camelo-Piragua
115 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...
116 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.
117 Diabetes Does Not Explain It AllPhilip M. Skidd, Joseph F. Rizzo III, MD, Florian S. Eichler, Dean M. CestariSystemic hypertension, type II diabetes mellitus, hypercholesteremia, anxiety and depression.
118 A TAAD Bit UnusualNisreen K. Mesiwala, Susan T. Stefko
119 Raise Your Grade Point AverageHilary M. Grabe, Jeffrey L. Myers, Douglas J. Quint, Victor M. Elner, 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.
120 Wear and Tear VisionKonrad P. Weber, Caterina Schweier, Veronika Kana, Thomas Guggi, Katarzyna Byber, Klara Landau, MD, FEBO, University of Zurich
121 Clues Hidden in the SkinJanet C. Rucker, Catherine Cho, James Weisfeld-Adams, Scott E. BrodieShe underwent neurological evaluation at age 32 (neuroimaging, serologies, lumbar puncture, muscle biopsy) with no resultant diagnosis (records unavailable). She required a wheelchair by age 36 and gradually developed slurred speech, cognitive decline, and worsened motor function. Simultaneous with ...
122 Occam's Razor or Gamma Knife?Kaushal M. Kulkarni, Linda L. Sternau, Byron L. LamHypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier.
123 It's Deja Vu All Over AgainAileen A. Antonio-Santos, Yanny L. Phillips, Baha El Khatib, Howard T. Chang, David I. Kaufman, DO, Chair, Neurology & Ophthalmology, Michigan State University; Eric R. Eggenberger, DO, Mayo Clinic
124 Beware the Trojan HorseDenize Atan, Nithin Nair, Mrinal Rana, Swarupsinh V. Chavda, Andrew JacksSystemic hypertension, hypercholesterolemia, and cerebrovascular disease treated with an antiplatelet drug, thiazide diuretic, ACE inhibitor and statin.
125 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...
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