Case Presentation: A healthy 11-year old female presented with 5 days of fever, headache, and progressive symptoms that included blurry vision, photophobia, lightheadedness, nausea, and intermittent vomiting. Family history was positive for migraine headaches. On exam, she had pupils measuring 10 mm, blurry vision and loss of acuity, but no visual field deficits or pain [...]

Case Presentation: A 67-year-old male presented with progressive bilateral upper extremity weakness, diplopia and neck pain of 1 week duration. Patient noted to have bilateral facial droop, weakness and areflexia of both upper extremities on physical exam. He reported having fevers and bloody diarrhea a few months prior to presentation. Magnetic resonance imaging (MRI) of [...]

Case Presentation: A 65 year-old female with past medical history of type 1 diabetes mellitus, renal transplant, breast cancer, sarcoidosis, and hypothyroidism presented with acute onset of severe pain, numbness, and weakness of bilateral upper and lower extremities. The patient developed rapidly progressive fatigue and weakness over three days following acute bronchitis six weeks prior. [...]

Case Presentation: A 74-year-old Hispanic male patient with a history of monoclonal gammopathy of undetermined significance presented with worsening right upper extremity (RUE) motor weakness for the last few months. This was present in an ulnar nerve distribution with muscle wasting in the hypothenar and fourth and fifth metacarpal areas. Blood work was notable for [...]

Case Presentation: A 24-year old woman presented to the emergency department with three days of decreased vision after she sustained blunt trauma to her face during a physical altercation. Social history was notable for methamphetamine use and unprotected sexual activity with multiple partners. Physical exam demonstrated right-sided periorbital swelling and tenderness, pupils were equal, round, [...]

Case Presentation: A 57-year-old female with a history of herpes simplex virus was seen at Rheumatology clinic for 3 weeks of myalgias and arthralgias, positive rheumatoid factor and elevated inflammatory markers. By her first visit, her symptoms resolved. Review of systems revealed chronic sinusitis associated with nasal septal deviation and nasal polyps, which previously failed [...]

Case Presentation: A 44-year-old man with no significant medical history was referred from our ophthalmology clinic with clinical concern for optic neuritis. One week earlier, he noted acute onset of left eye discomfort and blurred vision which evolved to central vision loss and brightness desaturation, accompanied by new headaches. Initial exam and lab work were [...]

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 42 year-old woman with no significant past medical history presented with a one-week history of sudden bilateral vision loss. Two weeks prior, she reported new bifrontal, pounding headaches with subsequent blurring of vision in her right eye. After two weeks, her headaches suddenly disappeared with sudden bilateral, painless blindness. Evaluation by a [...]

Case Presentation: A 23-year-old male with a past medical history of systemic lupus erythematosus presented to the emergency department with a chief complaint of blurred vision. His blurred vision was ongoing for several months and was not associated with any pain. The patient had recently been seen at an outpatient ophthalmology clinic where he was [...]