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TitleCreatorHistory
151 Pseudo Pseudo Pseudo Tumor Cerebri (Presentation Video)Marc J. Dinkin, MD, Weill Cornell MedicineA 27-year old male with visual disturbances and worsening headache.
152 Golden GrapesMoss, Heather E; Zivin, Sean; Lin, Amy; Aakalu, Vinay; Osmanovic, Senad; Al Heeti, Omar; Mayer, Stockton; Patel, MaheshA 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...
153 Obvious Case of Giant Cell Arteritis (Presentation Video)Barrett, Kevin M.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...
154 Giant Step for Mankind (Presentation Video)Zwick, OrinA 29-year old male with a 2-month history of blurred vision OD, headache and progressive eyelid swelling and expanding mass right temporal region. Previous history significant for chronic renal failure.
155 Pseudo-Pseudo Orbital Tumor (Presentation Video)Monsul, Nicholas T.A 53-year old male with orbital fullness, pain associated with red eyes and diplopia.
156 Highly Impossible (Original MRI)William A. Fletcher, MD, Departments of Clinical Neurosciences & Surgery, University of CalgaryA 4-year old male with a 1 1/2-year history of visual loss OU. Previous history significant for macrocephaly.
157 Highly Impossible (Presentation Video)William A. Fletcher, MD, Departments of Clinical Neurosciences & Surgery, University of CalgaryA 4-year old male with a 1 1/2-year history of visual loss OU. Previous history significant for macrocephaly.
158 19-year-old Man with Dizziness and Blackout Spells (Presentation Video)Neil R Miller, M.D., Professor of Ophthalmology, Johns Hopkins UniversityA 19-year old male with history of bizarre behavior, dizziness and black-out spells. Initial manifestation a self-described head rush followed by a black-out spell while at work. 2 months later, patient developed a right facial droop and expressive aphasia.
159 Man with a Rush (Presentation Video)Nicola G Ghazi, MD, Department of Ophthalmology, Texas Tech University Health Sciences CenterA 42-year old male with headache, tinnitus and persistent color retention. Previous history significant for sciatica.
160 The Relationship Between PDE-5 Inhibitors and NAIONHoward D. Pomeranz, MDSildenafil was first synthesized by pharmaceutical chemists working at Pfizer. It was initially studied for use in hypertension and angina. Phase I clinical trials suggested that the drug had little effect on angina but could induce penile erection. Sildenafil (Viagra®) was patented in 1996 and app...
161 "Not Right in the Head" - VideoMelinda Y. Chang, MD; Janet Lee, MD; Robert A. Goldberg, MD; Stacy L. Pineles, MDA 55 year old man presented with eight months of progressive left orbital swelling. His past ocular history was significant for LASIK of the right eye with monovision. His past medical history was significant for melanoma of the left arm, treated by surgical excision, with two negative lymph nodes, ...
162 It Is, Is It Not? - VideoIvana Vodopivec, Derek H. Oakley, Nagagopal Venna, John H. Stone, E. Tessa Hedley-Whyte, Sashank Prasad, MD, Brigham and Women's HospitalA 44-year-old man presented with visual loss, confusion, apraxia, and left-sided weakness. His medical history included retinal vasculopathy, chronic kidney disease, hypertension, and hypertensive cardiomyopathy that had presented over the preceding six years. The retinal vasculopathy had been terme...
163 Avengers Assemble! - VideoRadha Ram, Carrie A. Mohila, Jeremy Y. Jones, Veeral S. ShahA five-year-old otherwise healthy boy presented with a two-week history of behavioral changes, nausea, vomiting, headache, and subacute vision loss bilaterally. Six weeks prior to presentation to our hospital, he had presented to an outside hospital with esotropia and blurred vision in both eyes. At...
164 Leopard Can't Change Its Spots - VideoTerry S. Kang, Veeral S. ShahAn 8 year-old Caucasian female presented with bilateral conjunctivitis, photophobia, and blurred vision. Visual acuity was 20/50 OD and 20/60 OS. She had 2-3+ anterior chamber cell and flare OU, 1+ vitreous cells OU, 2+ optic disc edema OU, and macular edema OU. She was diagnosed with anterior uveit...
165 Eyes and Bowels Bottled Up - VideoKristopher Kowal, Jonathan Daniel Trobe MD, Michigan University, Theodore T. BrownA 56 year-old man presented with diplopia and ptosis. Actually he was more concerned about severe constipation that had started about the same time. Abdominal x-rays had shown stool loading; laxatives had been ineffective. Our exam showed bilateral ptosis with complete ophthalmoplegia in both eyes. ...
166 A Night at the Met - VideoClotilde Hainline, Janet C. Rucker, David Zagzag, Yvonne W. Liu, Floyd A. Warren, Laura J. Balcer, MD, Professor, Department of Neurology, NYU Langone; Steven L. Galetta, MD, NYU LangoneA 73-year old woman with no headache history presented to the emergency department with several days of right-sided, retro-ocular, and vertex headaches and inability to see the left side of the TV screen-- all beginning 1 week after cataract surgery. Evaluation by her ophthalmologist was unrevealing...
167 Growing Up Too Fast - VideoCourtney E. Francis, Thomas T. Chia, Gordana Juric-Sekhar, Manuel FerreiraA 7 ½ year old boy presented in 2000 with precocious puberty (development of pubic hair, acne and rapid linear growth). Work-up included a brain MRI revealing a suprasellar mass, consistent with a visual pathway glioma. On ophthalmologic evaluation, he was noted to be 20/25 OU with a normal fundusc...
168 In the Thick of ItKannan M. Narayana; Ritesh A. Ramdhani; Bradford Tannen; Laura J. Balcer; Steven L. Galetta; Janet C. RuckerA 38 year-old woman with a history of premature birth with significant developmental delay was sent for neuroophthalmic evaluation for excessive head movements with gaze shifting. As an adult, she was verbal and able to take the bus alone to a day program. Over the past two years, language and cogni...
169 Many Small Lesions, One Big Problem - VideoHarsh V. Gupta, Tuhin Virmani, Rohan Samant, Murat Gokden, Joseph G. Chacko, M.D., University of Arkansas, Sarkis M. NazarianA 73-year old hypertensive and hyperlipidemic man presented with 18 months of horizontal diplopia, worse at distance and gaze right, oscillopsia on left head turn, and unsteady gait. Six months prior to consult, he developed dysphagia, worse with liquids, and recurrent falls forced him to use a walk...
170 Diplopic Uveitis - VideoKinda Najem, Edward Margolin, Pradeep Krishnan33 year-old man presented with 3 days of binocular diplopia. Visual acuity was 20/30 OU and pupillary exam was normal. Motility testing demonstrated right partial 3rd nerve palsy (no adduction and limited supraduction with complete ptosis). There were +1/2 anterior chamber cells and few vitreous cel...
171 Looking for a Drop of Porcelain - VideoShannon J. Beres, MD; Grant T. Liu, MDA 4 year old healthy boy presented with severe headache. A right subdural hygroma was seen on brain MRI and CSF evaluation showed a leukocytosis with elevated protein. A week later he developed left leg weakness and a repeat brain MRI showed progressive leptomeningeal enhancement and new punctate in...
172 Spots, Spots Everywhere, And Not A Spot To SeeNazarian, Sarkis M; Shaon, Kelli Y; Habetz, Kenneth R; Al-Salaimeh, Ayman; Schwankhaus, John D; Joseph G. Chacko, M.D., University of ArkansasAdditional history revealed that the patient had suffered a tick bite about two weeks prior to the onset of his rash.
173 A Case of Progressive Orbital Cellulitis in an Immunocompetent Patient - VideoCinthi Pillai, MD, NYU Langone; Ivana Vodopivec, MD, Brigham and Women's Hospital; Daniel Lefebvre, MD, Massachusetts Eye and Ear; Frederick A. Jakobiec, MD, DSc, Massachusetts Eye and Ear; Joseph F. Rizzo III, MD, Massachusetts Eye and EarA 74 year-old woman presented 2/7/2015 with left orbital swelling/discomfort. Imaging revealed paranasal sinus and orbital soft tissue abnormalities suggestive of inflammatory/infectious disease. She received intravenous vancomycin/meropenam but worsened. Medical history was notable for paroxysmal a...
174 The Good, The Bad, and The Ugly - VideoNathan H. Kung, Robert C. Bucelli, Gregory P. Van Stavern, MD, Associate Professor, Ophthalmology & Visual Sciences and Neurology, Washington University School of MedicineA 37-year-old man with a history of hearing loss presented to the Neuro-Ophthalmology clinic in 2014 with 1 month of decreased vision in the left visual field. He also reported a period of binocular horizontal diplopia, similar in all directions of gaze, which had since resolved. Past medical histor...
175 Back Pain, Ophthalmoplegia, and More... (Presentation Video)Thurtell, MatthewA 73-year old male with lumbar pain without associated neurologic symptoms. Previous history significant for hypertension, dyslipidemia, ischemic heart disease and sciatica.
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