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Title | Creator | History |
151 |
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Multiple Cranial Neuropathies Over Multiple Months (Presentation Video) | Kara F. Warden | A 50-year old female with a 2-day history of diplopia, and 4 months of left facial numbness. Previous history significant for rheumatoid arthritis. |
152 |
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Muscle Bound or Unbound? | Dane A. Breker, Jonathan Daniel Trobe, MD, Michigan University, Ann A. Little, Sandra I. Camelo-Piragua | |
153 |
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My Orbits Are Melting (Presentation Video) | Thomas N. Hwang | A 40-year old female with progressive bilateral enophthalmos. Previous history significant for ruptured left basilar artery aneurysm 15 years prior to presentation associated with intracranial hemorrhage and increased intracranial pressure. |
154 |
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My, What Asthenia You Have (Presentation Video) | Michael Lee | A 59-year old female with a 3-year history of ptosis and diplopia. Family history significant for myasthenia gravis. |
155 |
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Never Too Young or Too Old | Bart Chwalisz, Laurel Tainsh, Mary Maher, Samantha Champion, Shuhei Nishiyima, Michael Levy | An 81-year-old woman with history of ocular myasthenia gravis presented with sequential bilateral vision loss. Six days before presentation, she discovered that vision of her left eye was reduced to light perception. She did not have any eye pain, pain with eye movement, headache, scalp tenderness, ... |
156 |
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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... |
157 |
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Nobody's Perfect | Alexander Ksendzovsky, Steven A. Newman, MD, University of Virginia School of Medicine | In 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... |
158 |
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Non-Functional Sinus Disease (Presentation Video) | Julie Shelton | A 6-year old female with a 1-week history of worsening vision OU > OD and a 2-month history of worsening headaches. |
159 |
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Nonchalant Midterm-taker Develops Altered Mental Status (video) | Shira Simon, Bruno Policeni, Matthew Thurtell | A 19 year-old female presented in April 2016 with two weeks of worsening headaches, malaise, left-hand weakness, and confusion. Symptoms started during a trip to Cancun and one week after visiting a friend with mumps. Although she was becoming increasingly lethargic, she refused to seek medical atte... |
160 |
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Not All Men With Thick Skulls Have High Testosterone (Video) | Yosbelkys Martin Paez, MD | A 54-year-old retired USAF fighter pilot was referred in Aug 2016 for evaluation of possible bilateral optic disc swelling noted on routine optometric examination. His past medical history included low testosterone discovered 2 years prior in the context of fatigue and exercise intolerance. MRI brai... |
161 |
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Not Surprised Surprise (video) | Yu Zhao, Joshua Pasol, Sander Dubovy, Byron Lam | A 68-year-old Hispanic woman presented to our emergency department with significant vision loss OS for 1 week. A month ago, she was evaluated locally for mild blurry vision OS, and corrected acuity was 20/30 OD, 20/40 OS. She was diagnosed with cataracts and epiretinal membrane OD. Medical history i... |
162 |
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Not a Benign Tumor (Presentation Video) | Hong Jiang | A 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. |
163 |
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Not a Meatball - Video | Steven A. Newman, MD, University of Virginia School of Medicine, James Mandell, Colleen Druzgal, John Jane Jr., Spencer Payne, Sugoto Mukherjee, Beatriz Lopes | In 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... |
164 |
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Objects Jumping, Body Bumping, Hearing Slumping…Quick, He is Crumping (Video) | Jorge Kattah, Scott Eggers, Sarah Bach | A 45 y/o man developed insidious unsteadiness and bilateral hearing impairment. A neurosurgeon diagnosed possible myelopathy, and despite an anterior cervical discectomy, he noted progressive gait difficulty, poor handwriting, and inability to play the guitar. Additionally, dysarthria, oscillopsia a... |
165 |
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Obvious Case of Giant Cell Arteritis (Presentation Video) | Kevin M. Barrett | A 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... |
166 |
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Occam Rings True (video) | Reid Longmuir, Michael Bradshaw, Taylor Davis, Woon Chow, Laura Craig-Owens, Kim Ely, Katherine McDonell | A 57-year-old, previously healthy man was referred for vision loss in both eyes. Six weeks before our evaluation, he presented to an outside ophthalmologist with "greying" of the central vision in his right eye that progressed to blindness over a week. |
167 |
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Occam's Razor or Gamma Knife? | Kaushal M. Kulkarni, Linda L. Sternau, Byron L. Lam | Hypertension, end-stage renal disease on hemodialysis, and an episode of anterior uveitis in the right eye 10 years earlier. |
168 |
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Oh Great, I Get to Follow the Post-Op Homonymous Hemianopsia (Presentation Video) | Robert F. Saul, MD, Virginia Tech Carilion | A 32-year old female with a right homonymous hemianopsia and 1-month history of severe headache. |
169 |
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Oh My GAD!! Something Else? | Olwen Murphy, Kemar Green, John Probasco, Daniel Gold | A 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... |
170 |
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Oh Oh Oh It's Magic, You Know…Never Believe It's Not So! (Video) | Zeeshan Haq, Jeremy Tanner, Christine Glastonbury, Cathryn Cadwell, Brooks Crawford, Elan Guterman, Maulik Shah, Megan Richie, Nailyn Rasool | A 72-year-old man with chronic sinusitis, obstructive sleep apnea, and recent extensive travel presented with right-sided headaches, vision changes, and allergy symptoms. A head CT demonstrated a sinus infection and he was treated with amoxicillin-clavulanate; and prednisone. His headache persisted ... |
171 |
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Once Upon an MRI Dreary (Presentation Video) | Richard L. Levy | A 59-year old African-American female with hypercholesterolemia, benign colonic polyps and stress-related headaches. |
172 |
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One Peak is Worth Twenty Finesses - Video | Steven Newman, James Mandell | |
173 |
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Orbiting a Diagnosis | Daniel Liebman, Daniel Lefebvre, Emily Tam, Marie Lithgow, Bart Chwalisz, Eric Gaier, Joseph Kane | A 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... |
174 |
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Painful Red Eye in a 69-Year Old Female With Sensorineural Hearing Loss (Presentation Video) | Engelbert, Micahel | A 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. |
175 |
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Papilledema Gone Wrong (video) | Ahmara Ross, Payal Patel, Jessica Panzer, Grant T. Liu, MD, Professor of Neurology, University of Pennsylvania | A 12 year old obese female with a history of enterovirus meningitis presented with throbbing, constant, 10/10, occipital and positional headaches, associated with diplopia, photophobia, nausea, and vomiting for one week in; the setting of a recent 20 lb. weight gain. Her vision, pupils, fields, and ... |