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Case Studies01:22

Case Studies

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There are many research methods available to psychologists in their efforts to understand, describe, and explain behavior and the cognitive and biological processes that underlie it.
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Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
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Case 292.

Vivian Paraskevi Douglas1, Konstantinos A A Douglas1, Katherine L Reinshagen1

  • 1From the Departments of Ophthalmology (V.P.D., K.A.A.D., B.K.C.) and Radiology (K.L.R.), Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles St, Boston, MA 02114; and Department of Neurology, Neuro-Ophthalmology Service, Massachusetts General Hospital, Harvard Medical School, Boston, Mass (B.K.C.).

Radiology
|March 22, 2021
PubMed
Summary
This summary is machine-generated.

A young woman experienced acute double vision. High-resolution MRI revealed a rare cause of neuro-ophthalmic symptoms, highlighting the importance of advanced imaging in diagnosing complex visual disturbances.

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Area of Science:

  • Neuro-ophthalmology
  • Neuroimaging
  • Ophthalmology

Background:

  • A 24-year-old woman presented with acute binocular diplopia, specifically when looking down and to the left.
  • Her medical history included Raynaud syndrome and recent antibiotic treatment for a presumed urinary tract infection.
  • Initial brain MRI and MR angiography were unremarkable, leading to a referral for specialized neuro-ophthalmic evaluation.

Purpose of the Study:

  • To investigate the cause of acute binocular diplopia in a young woman with a complex medical history.
  • To utilize advanced neuroimaging techniques to identify potential underlying pathologies.
  • To contribute to the understanding of rare causes of neuro-ophthalmic symptoms.

Main Methods:

  • Comprehensive neuro-ophthalmic examination including visual acuity and motility assessment.
  • High-spatial-resolution magnetic resonance imaging (MRI) of the brain and orbits.
  • Review of patient's medical history, including recent infections and treatments.

Main Results:

  • Neuro-ophthalmic examination revealed a right hypertropia in left gaze, downgaze, and right head tilt, with right excyclotorsion.
  • High-spatial-resolution MRI of the brain and orbit were performed to further investigate the etiology.
  • The specific findings from the advanced MRI are detailed in the full study (Figs 1, 2).

Conclusions:

  • The case highlights a rare presentation of neuro-ophthalmic symptoms.
  • Advanced neuroimaging is crucial for diagnosing conditions not evident on standard MRI.
  • This case underscores the importance of a thorough diagnostic approach in neuro-ophthalmology.