Case Presentation: Gradenigo’s Syndrome, an extremely rare complication of untreated otitis media, is characterized by suppurative otitis media, pain in the distribution of the trigeminal nerve, and abducens nerve palsy (1). Its pathophysiology involves spread of bacterial infection from the middle ear to the petrous apex of the temporal bone and surrounding structures. Untreated, it [...]

Case Presentation: A 40-year-old man presents with painful, progressive bilateral vision loss which began two months prior, and was described as the patient feeling as if he were “looking through a straw”. He noted excruciating eye pain, redness, and tearing. Despite work as a tree trimmer, patient denied known trauma. He endorsed a twenty-pound unintentional [...]

Case Presentation: An 80-year-old female was admitted with sudden right-sided weakness, expressive aphasia and left partial loss of vision. She denied preceding temporal tenderness, jaw claudication, headaches, history of tick bites, and new rashes. While her weakness and aphasia resolved within an hour, her vision impairment persisted. Initial CT and MRI scans showed no acute [...]

Case Presentation: An 86 years old male with a history of pulmonary fibrosis, HTN, CHF, RA, valve replacement presented after left eye transient visual loss and exertional dyspnea. He reported an episode of painless vision loss in the left eye, felt like a grey curtain was pulled down over his left eye and lasted about 30 seconds. He [...]

Case Presentation: A 5-year-old male presented to an outside hospital with one month of headaches, decreased visual acuity (VA) and color vision, and one day of vomiting. Workup included CT brain and venogram with an incidental corpus callosum cyst, ESR of 19 (0-15 mm/hr), and normal blood counts, CRP, and metabolic and hepatic panels. Ophthalmologic [...]

Case Presentation: A 58-year-old male presented to the emergency department with a twelve-hour history of sudden, painless and progressive left sided loss of vision following the consumption of tadalafil 20mg tablet for erectile dysfunction. He denied loss of consciousness, seizures, dizziness, headache, slurred speech, palpitations, tinnitus, urinary or stool incontinence, recent trauma, recent changes in [...]