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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 335:1668-1674 November 28, 1996 Number 22
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Case 37-1996— A 51-Year-Old Man with Visual Problems and an Intracranial Mass
John W. Gittinger, and E. Tessa Hedley-Whyte

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Presentation of Case

A 51-year-old man was admitted to the hospital because of visual "instability" and an intracranial mass.

The patient was an accountant. He had been well until six years earlier, when he began to have difficulty fixating on the proper line when reading pages with columns of figures. The problem was bilateral but appeared to be worse in the left eye. Five years before admission, he noticed a progressive loss of vision in the left eye. Two years later, he experienced anosmia and had urinary frequency and urgency, with nocturia five times nightly. Several days before admission to this hospital, the . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. John W. Gittinger, Jr.'s, Diagnosis

Pathological Discussion

Anatomical Diagnosis

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