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Title | Creator | History |
126 |
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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... |
127 |
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No Rhabdo? | Mark R. Melson | A 5 year-old girl presented for evaluation of a right orbital mass displacing the globe superiorly. She had a 5 week history of swelling around her right eye. Her pediatrician diagnosed a blocked tear duct and referred her to an ophthalmologist. She failed empiric treatment for orbital cellulitis an... |
128 |
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Sacramentum Gladiatorium | Michael Vaphiades; Jennifer Doyle | Medical history includes hypertension and hyperlipidemia. |
129 |
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Ain't No Sunshine When You Are Gone! | Veeral S. Shah; Linda Sternau; Michelle Felicella; Sanders Dubovy; Chris Alabiad; Norman J. Schatz; Byron L. Lam | An 18 year-old Latin American female presented with progressive visual loss OD over 6 weeks. She initially had blurry vision and photophobia OD with a central scotoma OD on HVF testing. At that time, examination revealed a right swollen optic nerve with retinal hemorrhages. She was otherwise healthy... |
130 |
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Some Orbital Confusion | Steven A. Newman; David T. Bourne | In September 2006 he had been referred for a second opinion regarding a 5 year history of intermittent swelling around the right orbit, worsening over 7 months associated with double vision, and proptosis (C,D). |
131 |
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Ataxia at the Masquerade Ball | Krista I. Kinard; Alison V. Crum; Judith E. Warner; Bradley J. Katz; Joshua A. Sonnen; Cheryl A. Palmer; Anne G. Osborn; L. Dana DeWitt; Kathleen B. Digre | A 52-year-old right-handed salesman presented in July 2007 with a 5-year history of slowly progressive imbalance. In 2002 he developed difficulty using his eyes together and then imbalance resulting in frequent backward falls. He reported oscillopsia and episodic vertigo. He later developed fatigue,... |
132 |
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Renal Red Herring | John J. Chen; John J. Brinkley; Namrata Singh; Amanda C. Maltry; Bruno A. Policeni; Richard C. Allen; Reid A. Longmuir; Matthew J. Thurtell | A 71 year-old Caucasian male with a history of Wegener's granulomatosis presented with vision loss OU and horizontal binocular diplopia. His past medical history was significant for Wegener's granulomatosis, which was diagnosed in 2000 on the basis of a renal biopsy. He was previously treated with v... |
133 |
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Is it a Crime to be Blind? I plead the 4th! | Jasmine Gopwani; Edward Margolin; Tran Le; Wayne Cornblath; Rasmus Kiehl | A 30 year old previously healthy man from Sudan presented to a community hospital with a seizure. MRI revealed a 'right frontal lobe tumor'. Brain biopsy was performed but the pathology findings were inconclusive. Initial interpretation was "brain tissue with increased cellularity consistent with gl... |
134 |
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I Can't Stand the Double Vision | Iris Ben Bassat Mizrachi; Ruth Huna-Baron; Rivka Inzelberg; Yonathan Sharabi | A 37 year-old woman was referred to our clinic due to bilateral ptosis and vertical binocular diplopia. She denied diurnal variations, muscle weakness or bulbar symptoms. In the past year she had been suffering from bouts of abdominal pain, diarrhea, and severe weight loss (>40 pounds), and she pres... |
135 |
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A Candid Look at a Missed Diagnosis | Edward Margolin; Jasmine Gopwani; Robert Willinsky | She was diagnosed with migraine, stress, and 'drug seeking' presumed from a history of past (intravenous?) heroin use. |
136 |
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Almost Catastrophic | Danielle S. Rudich; Samuel Yun; Anne Liebling; Jonathan E. Silbert; Robert L. Lesser | A 36 year-old Caucasian male presented to his ophthalmologist with one month of headache, blurry vision, and intermittent diplopia. The patient denied transient visual obscurations, tinnitus, prior medical problems or use of steroids/Vitamin A/antibiotics. He was 235 pounds and 5'9". Because examina... |
137 |
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Innocent until Proven Guilty | Heather E. Moss; Tiffany Stroup; Amy Lin; Oliver Graf; Jeffrey Borgeson; Aaron Halfpenny; Howard Lipton; Tibor Valyi-Nagy | A 31 year-old male experienced right eye blurring and pain. He was diagnosed with optic neuritis and treated with IV steroids. Nine days later he developed headache, worsening vision, speech trouble and right-sided weakness. Two days later he developed low-grade fever and trouble walking. He had NLP... |
138 |
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More Than a Cu-bit of Vision Loss | Philip M. Skidd; Rebecca C. Stacy; Waqar Waheed; Mohamed-Ali Babi | A 45 year-old, right-handed, man, presented after awakening with no vision in his left eye. Two days earlier he had experienced a brief episode of binocular horizontal, and then oblique, diplopia. One week prior, he developed left facial numbness and "sinus pain" on the same side; a five day course ... |
139 |
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Much-Ado About Acute Vision Loss | Mahsa A. Sohrab; Andrea Birnbaum; Michael Sidiropoulos; Lois Polatnick; Nicholas J. Volpe | Progressive fatigue and right face, arm, and leg pain. |
140 |
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Burned by Diplopia | Bonnie M. Keung; Reuben Mari Valenzuela; Meena Gujrati; Jeffrey R. DeSanto; Jorge C. Kattah; John H. Pula | In 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. |
141 |
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Which One is The Real Zebra | Madhura A. Tamhankar; Julia Kharlip; Robert Lustig; Jon Burnham; Karuna Shekdar; Michele Paessler; Lucy Rorke; Kristina Cole | A 15-year-old male complained of headaches and nausea, two months after appendectomy. |
142 |
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A Case of Cotton Wool Spots | Golnaz Moazami; Hermann Schubert; Sampson Jacinda; Riley Claire | A 31 year old Caucasian male was admitted to a local ER after being found unresponsive on a couch at home, incontinent of urine, and having vomited with tongue bruising. He was arousable in the ER but febrile to 102 F with WBC= 19,000. He was loaded with dilantin, and emergency CT showed a left post... |
143 |
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An Ironclad Case of Vision Loss | Marc J. Dinkin; George Parlitsis; Sarju Patel; Alex Merkler; Audrey Schuetz; Cristiano Oliveira | A 43-year-old man with AIDS and a CD4 count of 4, non-compliant with HAART, presented with four days of headache, photophobia and vision loss in his left eye. There was a history of treated syphilis and CMV retinopathy. On neuro- ophthalmological examination, visual acuities were 20/40 OD (formerly ... |
144 |
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‘Tis Nobler in the Mind to Suffer... Or to Take Arms Against a Sea of Troubles and by Opposing End Them? (Hamlet act 3, scene 1) (Presentation Video) | Heather Moss; Goo Lee; C. Michael Weldon-Linne | 41-year old female with a shadow over the left eye. |
145 |
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When Life Gives You Lymphocytes, Make Limeade (Presentation Video) | Melissa Ko; Monika Kolloori; Barbara Henriquez; Robert Hutchison; Luis Mejico | A 62-year old female; hypercholesterolemia. |
146 |
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What's In a Name? (Presentation Video) | Nicholas Volpe; Allan Wulc; Jodi Sasson; Myron Yanoff | 76-year old male; five year history of muscle pain and arthralgia; four year history of PMR symptoms; gastrointestinal illness. |
147 |
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Another Case of Guillain-Alajouanine-Garcin Syndrome [also known as Bertolotti-Garcin syndrome, Garcin's syndrome, Garcin-Guillain syndrome, Hartmann's syndrome (Friedrich Hartmann), Schmincke tumor-unilateral cranial paralysis syndrome...] (Presentation Video) | Valerie Biousse; Patricia Hudgins; Daniel Brat; Beau Bruce, Nancy Newman | A 37-year old male with multiple right-side cranial nerve palsies. Previous history significant for hypertension and sleep apnea. Family history remarkable for diabetes, glaucoma and thyroid disease. |
148 |
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Tics and Fleas (Presentation Video) | Nancy Newman; Valerie Biousse; Daniel Brat | A 61-year old female with tic douloureux and diplopia. Previous history significant for squamous cell skin cancer below right eye, surgically resected. Dx atypical trigeminal neuralgia after neurological consult following administration of local anesthetic for basal cell carcinoma resection. |
149 |
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Combing the Globe for Terrorism (Presentation Video) | Norah Sydney Lincoff; Lucia L. Balos, Charles J. Chung | An 83-year old male; hypertension; atrial fibrillation; type II diabetes mellitus; squamous cell carcinoma of the face; prostate cancer (treated). |
150 |
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Pseudo Pseudo Pseudo Tumor Cerebri (Presentation Video) | Marc Dinkin; Jacqueline Winterkorn; Steven Newman | A 27-year old male with visual disturbances and worsening headache. |