Save as PDFDolichoectasia is an arterial disease that causes dilation or tortuosity of the impaired vessel. It most commonly affects the vertebrobasilar system and the internal carotid artery. Although most cases are asymptomatic, the condition may manifest by symptoms of headache, vertigo, visual disturbance, or signs of cranial nerve impairment.Â
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Save as PDFWhile patients with RAMs are often asymptomatic, providers must be able to clinically differentiate them from other retinal conditions so they can manage and counsel patients appropriately. This case report reviews the anatomical features, risk factors, clinical course, pathophysiology, and treatment options for potential sequelae of a RAM.
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Save as PDFWhile argyria and argyrosis are largely only of cosmetic concern, healthcare providers and the public should be aware of the possibility of their development with chronic silver exposure, especially due to its permanence once developed.
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Save as PDFBilateral idiopathic ring-shaped opacification of the midperipheral corneal stroma – often referred to as Ascher ring – is an extremely rare finding reported only sparsely in the literature.
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Save as PDFReader, think critically when going over these articles. Don’t just read them to check out interesting cases (although the case in Neuro Nuggets is quite interesting and unique), use them to change the way you practice and care for your patients. I know I take something away from every issue.
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Save as PDFwe should consider whether it is necessary to use acronyms as opposed to the full terminology. With advancements in smartphrase technology in our electronic health record (EHR) systems perhaps we can move to using full terminology in our clinical notes to decode the alphabet soup for the sake of our fellow medical colleagues.
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Save as PDFThe case presented here is unique in that the visual field defect was highly suggestive of optic nerve and chiasm damage. The transnasal route of injury in this case is similar to the route of pituitary tumor surgical removal (i.e. transsphenoidal). To the best of our knowledge, this may be the first published case of transnasal penetrating foreign body injury that resulted in a junctional scotoma.Â
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Save as PDFIn the context of our topic of evidence-based medicine, are our experiences and expert opinions a reliable source of evidence? If not, why not? If so, how much should we rely on experience and opinion (whether ours or others) to guide our clinical decision-making?
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Save as PDFVoriconazole is in the class of triazole antifungal medications which can cause various ocular side effects including subjective visual disturbances. This emphasizes the importance of ancillary testing to evaluate for ocular toxicity
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Save as PDFMacular neovascularization (MNV) is a pathophysiological precursor to local tissue destruction. Age-related macular degeneration is the predominant disease for MNV incidence. The spectrum of macular neovascular morphologies can be studied with optical coherence tomography angiography (OCTA) imaging and observed for vision-threatening activity.
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