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TitleCreatorHistory
126 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.
127 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.
128 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...
129 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.
130 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...
131 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.
132 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.
133 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.
134 Pseudo Pseudo Pseudo Tumor Cerebri (Presentation Video)Marc J. Dinkin, MD, Weill Cornell MedicineA 27-year old male with visual disturbances and worsening headache.
135 Pseudo-Pseudo Orbital Tumor (Presentation Video)Nicholas T. MonsulA 53-year old male with orbital fullness, pain associated with red eyes and diplopia.
136 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.
137 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.
138 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
139 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 ...
140 Sacramentum GladiatoriumMichael S. Vaphiades, MD, University of Alabama, Jennifer DoyleMedical history includes hypertension and hyperlipidemia.
141 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...
142 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.
143 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.
144 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.
145 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...
146 Some Orbital ConfusionSteven A. Newman, MD, University of Virginia School of Medicine, David T. BourneIn 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).
147 Sometimes a Biopsy is BestKevin Chodnicki, Natalie Wolkow, Michael Yoon, Bart ChwaliszA 30 -year-old pregnant woman without significant medical or ocular history presented with decreased right eye vision. In her 2nd trimester, she was diagnosed with Lyme disease with a bulls-eye rash and positive Lyme antibodies; she was treated with two weeks of amoxicillin. At 33 weeks pregnant she...
148 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...
149 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.
150 Star Light, Star Bright (Presentation Video)Shannon C. Lynch, MD, University of Nebraska Medical CenterAn 83-year female with ptosis and binocular oblique diplopia.
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