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Volume 355:2493 December 7, 2006 Number 23
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Medical Mystery: Visual-Field Defect — The Answer

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 by Mathura, J. R.
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To the Editor: The medical mystery in the October 12 issue1 involved a 31-year-old woman who presented with a sudden onset of an inferonasal visual-field deficit in the left eye. Two days earlier, she had traveled for 16 hours by air. On physical examination the day after the onset of her visual symptoms, ophthalmoscopy revealed a band of opacification in the left macula that was diagnostic of a branch retinal artery occlusion, as shown on fluorescein angiography (Figure 1A). The patient had digital erythema, cyanosis (Figure 1B), and severe clubbing (Figure 1C) of the . . . [Full Text of this Article]


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Medical Mystery — Paradoxical Embolism
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N Engl J Med 2007; 356:1277, Mar 22, 2007. Correspondence

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