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TitleCreatorHistory
126 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...
127 Non-Functional Sinus Disease (Presentation Video)Julie SheltonA 6-year old female with a 1-week history of worsening vision OU > OD and a 2-month history of worsening headaches.
128 Not a Benign Tumor (Presentation Video)Hong JiangA 43-year old female with blurred vision OU. Previous history signicant for a 10-year history of recurrent colon cancer Tx antineoplastic agents, pituitary mass, hypopituitarism and diabetes insipidus.
129 Not a Meatball - VideoSteven A. Newman, MD, University of Virginia School of Medicine, James Mandell, Colleen Druzgal, John Jane Jr., Spencer Payne, Sugoto Mukherjee, Beatriz LopesIn April 2015, a 10 year old girl was referred for a four day history of ptosis and double vision. On examination, visual acuity was 20/20-OU; near vision was 3pt OU. Visual fields showed subtle arcuate visual field changes. External examination revealed palpebral fissures of 6.5 and 9 with an upper...
130 Obvious Case of Giant Cell Arteritis (Presentation Video)Kevin M. BarrettA 64-year-old male with a 6-month history of fatigue, weight loss, shoulder/hip girdle discomfort, jaw pain when chewing and episodic monocular loss of vision. Previous history significant for hypertension, prostate cancer (s/p prostatectomy), adenomatous hyperplasia (s/p thyroidectomy) and kidney c...
131 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.
132 Oh Great, I Get to Follow the Post-Op Homonymous Hemianopsia (Presentation Video)Robert F. Saul, MD, Virginia Tech CarilionA 32-year old female with a right homonymous hemianopsia and 1-month history of severe headache.
133 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...
134 Once Upon an MRI Dreary (Presentation Video)Richard L. LevyA 59-year old African-American female with hypercholesterolemia, benign colonic polyps and stress-related headaches.
135 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...
136 Painful Red Eye in a 69-Year Old Female With Sensorineural Hearing Loss (Presentation Video)Engelbert, MicahelA 63-year old female with a 6-year history of ulcerative colitis and erythema nodosum. Previous history significant for bilateral hearing loss, diffuse headache preceded by intermittent vertigo and tinnitus.
137 Parkinsonitis (Presentation Video)Alice KimAn 83-year old male with a 2-year history of motor, left gaze palsy and cognitive slowing. Previous history significant for hypertension, hypercholesterolemia, Gilbert syndrome, and atrial fibrillation.
138 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.
139 Pseudo Pseudo Pseudo Tumor Cerebri (Presentation Video)Marc J. Dinkin, MD, Weill Cornell MedicineA 27-year old male with visual disturbances and worsening headache.
140 Pseudo-Pseudo Orbital Tumor (Presentation Video)Nicholas T. MonsulA 53-year old male with orbital fullness, pain associated with red eyes and diplopia.
141 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.
142 Rectifying the Apposite Diagnosis (Presentation Video)Beau Bruce, MD, PhD, Emory UniversityA 65-year old male with a 6 week history of progressive balance difficulties, bilateral hearing loss and loss of vision OD. Previous history significant for hypertension and rectal cancer Tx surgery, antineoplastic agents and XRT.
143 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
144 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 ...
145 Sacramentum GladiatoriumMichael S. Vaphiades, MD, University of Alabama, Jennifer DoyleMedical history includes hypertension and hyperlipidemia.
146 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...
147 Small Surprises Along the Journey (Presentation Video)Janet C. Rucker29-year old female with a 2-year history oscillopsia. Previous history significant for Dx ovarian cancer three years before Tx surgery and chemotherapy.
148 Snowballs and Curveballs (Presentation Video)Nicholas J. Volpe, MD, Northwestern UniversityA 34-year old male with complaints of pain, photophobia, redness, and decreased vision OD. Previous history significant for tuberculosis.
149 Some Hairy Gossyp (Presentation Video)Ivey ThorntonA 13-year old female with a perceived whiteness affecting her right field of vision. Previous history significant for seizure-like spikes affecting sleep and ventricular and atrial septal defects, the latter of which, surgically repaired.
150 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...
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