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201 A Prolonged Path To The Final Diagnosis (abstract)Cindy Lam, Edward MarglinPreviously healthy 25-year-old male presented with a 3-week history of frontal headache, right 3rd nerve palsy with ptosis, and areflexia of the left leg. MRI brain was normal. Two days later new symptoms developed: lower back pain, paresthesias, left leg weakness, right facial weakness.
202 A Prolonged Path To The Final Diagnosis (slideshow)Cindy Lam, Edward MarglinPreviously healthy 25-year-old male presented with a 3-week history of frontal headache, right 3rd nerve palsy with ptosis, and areflexia of the left leg. MRI brain was normal. Two days later new symptoms developed: lower back pain, paresthesias, left leg weakness, right facial weakness.
203 A Prolonged Path To The Final Diagnosis (video)Cindy Lam, Edward MarglinPreviously healthy 25-year-old male presented with a 3-week history of frontal headache, right 3rd nerve palsy with ptosis, and areflexia of the left leg. MRI brain was normal. Two days later new symptoms developed: lower back pain, paresthesias, left leg weakness, right facial weakness.
204 Lions and Tigers and Bears, Oh My! (abstract)Larissa Ghadiali, Danlin Mao, Gul Moonis, Adam Sonabend, Catherine Shu, Terri Kreisl, Esther Coronel, Jeffrey OdelA 79 year-old female s/p resection of a right CPA meningioma in 1998 noted sudden painless visual loss OD on 6-12-2016. Two days later examination revealed 20/150 vision OD, a right RAPD, and an otherwise normal ophthalmic exam.
205 Lions and Tigers and Bears, Oh My! (slideshow)Larissa Ghadiali, Danlin Mao, Gul Moonis, Adam Sonabend, Catherine Shu, Terri Kreisl, Esther Coronel, Jeffrey OdelA 79 year-old female s/p resection of a right CPA meningioma in 1998 noted sudden painless visual loss OD on 6-12-2016. Two days later examination revealed 20/150 vision OD, a right RAPD, and an otherwise normal ophthalmic exam.
206 Not Surprised Surprise (abstract)Yu Zhao, Joshua Pasol, Sander Dubovy, Byron LamA 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...
207 Not Surprised Surprise (slideshow)Yu Zhao, Joshua Pasol, Sander Dubovy, Byron LamA 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...
208 Not Surprised Surprise (video)Yu Zhao, Joshua Pasol, Sander Dubovy, Byron LamA 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...
209 Island Fever (abstract)Laura Hanson, Judith E. A. Warner, MD, Moran Eye Center, University of Utah, Alison Crum, Bradley Katz, Kathleen B. Digre, MD, Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye Center, University of Utah School of MedicineA 22 year-old male paralegal in the military presented with double and blurred vision. One month ago, he had traveled to Hawai'i for a wedding. Two weeks ago, he had been evaluated for an acute onset of fever, headache, emesis, light sensitivity and neck stiffness.
210 Island Fever (video)Laura Hanson, Judith E. A. Warner, MD, Moran Eye Center, University of Utah, Alison Crum, Bradley Katz, Kathleen B. Digre, MD, Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye Center, University of Utah School of MedicineA 22 year-old male paralegal in the military presented with double and blurred vision. One month ago, he had traveled to Hawai'i for a wedding. Two weeks ago, he had been evaluated for an acute onset of fever, headache, emesis, light sensitivity and neck stiffness.
211 Island Fever (slideshow)Laura Hanson, Judith E. A. Warner, MD, Moran Eye Center, University of Utah, Alison Crum, Bradley Katz, Kathleen B. Digre, MD, Professor of Neurology and Ophthalmology, Director of Neuro-Ophthalmology, John A. Moran Eye Center, University of Utah School of MedicineA 22 year-old male paralegal in the military presented with double and blurred vision. One month ago, he had traveled to Hawai'i for a wedding. Two weeks ago, he had been evaluated for an acute onset of fever, headache, emesis, light sensitivity and neck stiffness.
212 It Must Be Voodoo... and he was Far from Spineless (slideshow)Norah S. Lincoff, MD, University at Buffalo, Charles Chung, Lucia BalosA 35 yo legally blind gentleman was referred for evaluation because of neck and new lower back pain. His visual; loss began 4 years prior, following a trip to "N'Orleans". He had been on a "Boys Trip" for 10 days, and had been cursed with Voodoo for not paying a cemetery tour guide as promised.
213 It Must Be Voodoo... and he was Far from Spineless (abstract)Norah S. Lincoff, MD, University at Buffalo, Charles Chung, Lucia BalosA 35 yo legally blind gentleman was referred for evaluation because of neck and new lower back pain. His visual; loss began 4 years prior, following a trip to "N'Orleans". He had been on a "Boys Trip" for 10 days, and had been cursed with Voodoo for not paying a cemetery tour guide as promised.
214 Pseudo-Pseudotumor Cerebri (slideshow)Valérie Biousse, MD, Departments of Ophthalmology and Neurology, Emory University School of Medicine, Jose Velázquez Vega, Amit Saindane, Nancy J. Newman, MD, Emory Eye CenterA 54-yo man presented with a 10-month history of daily headaches and bilateral disc edema. PMHx was remarkable for uncomplicated type-2 diabetes mellitus, and hypothyroidism. He developed headaches in 07/2014 after being stung by wasps.
215 Pseudo-Pseudotumor Cerebri (abstract)Valérie Biousse, MD, Departments of Ophthalmology and Neurology, Emory University School of Medicine, Jose Velázquez Vega, Amit Saindane, Nancy J. Newman, MD, Emory Eye CenterA 54-yo man presented with a 10-month history of daily headaches and bilateral disc edema. PMHx was remarkable for uncomplicated type-2 diabetes mellitus, and hypothyroidism. He developed headaches in 07/2014 after being stung by wasps.
216 Papilledema Gone Wrong (abstract)Ahmara Ross, Payal Patel, Jessica Panzer, Grant T. Liu, MD, Professor of Neurology, University of PennsylvaniaA 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 ...
217 Papilledema Gone Wrong (slideshow)Ahmara Ross, Payal Patel, Jessica Panzer, Grant T. Liu, MD, Professor of Neurology, University of PennsylvaniaA 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 ...
218 Papilledema Gone Wrong (video)Ahmara Ross, Payal Patel, Jessica Panzer, Grant T. Liu, MD, Professor of Neurology, University of PennsylvaniaA 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 ...
219 Occam Rings True (abstract)Reid Longmuir, Michael Bradshaw, Taylor Davis, Woon Chow, Laura Craig-Owens, Kim Ely, Katherine McDonellA 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.
220 Occam Rings True (slideshow)Reid Longmuir, Michael Bradshaw, Taylor Davis, Woon Chow, Laura Craig-Owens, Kim Ely, Katherine McDonellA 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.
221 Occam Rings True (video)Reid Longmuir, Michael Bradshaw, Taylor Davis, Woon Chow, Laura Craig-Owens, Kim Ely, Katherine McDonellA 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.
222 M.I.A. (abstract)Julie DeBacker, Janet Rucker, Josef Gutman, Heather Lau, Laura J. Balcer, MD, Professor, Department of Neurology, NYU Langone; Steven L. Galetta, MD, NYU LangoneA 69-year-old man presented with a several year history of vertical double vision. At age 46, he presented with a two year history of imbalance, four year history of urinary urgency/frequency, and a six-month history of leg numbness and tingling.
223 M.I.A. (slideshow)Julie DeBacker, Janet Rucker, Josef Gutman, Heather Lau, Laura J. Balcer, MD, Professor, Department of Neurology, NYU Langone; Steven L. Galetta, MD, NYU LangoneA 69-year-old man presented with a several year history of vertical double vision. At age 46, he presented with a two year history of imbalance, four year history of urinary urgency/frequency, and a six-month history of leg numbness and tingling.
224 M.I.A. (video)Julie DeBacker, Janet Rucker, Josef Gutman, Heather Lau, Laura J. Balcer, MD, Professor, Department of Neurology, NYU Langone; Steven L. Galetta, MD, NYU LangoneA 69-year-old man presented with a several year history of vertical double vision. At age 46, he presented with a two year history of imbalance, four year history of urinary urgency/frequency, and a six-month history of leg numbness and tingling.
225 A "Frosty" Altered Level of Consciousness (slideshow)Alaa Bou Ghannam, Emily McCourt, Victoria Pelak, Jeffrey Bennett, Prem S Subramanian, MD, PhD, ​Professor of Ophthalmology, Neurology, and Neurosurgery, University of Colorado, David Smits15-year-old previously healthy male, transferred because of 9-day history of headache, difficulty walking, diplopia, blurry vision and new onset altered level of consciousness. Neurologic examination was remarkable for delirium; with semi-coherent speech, VA of CF 2ft and 20/400, no APD, and bilater...
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