CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 55 year-old
lady with a diagnosis of a duel AV fistula made in [**2167-4-25**] by angiogram.  She first presented in [**Month (only) 958**] complaining
of a whooshing sound behind her left ear that got very loud
by [**Month (only) 547**].  The only other significant past medical history is
migraines with visual aura.  She is followed by Dr. [**Last Name (STitle) **]
in the [**Hospital 878**] Clinic.  She was admitted on [**9-24**] for
intervention.  Interventional angiogram could not be
embolized from the venous site and external carotid artery
approach was used.  Partial closure of the fistula was
achieved.  The left vein of Labbre drained to the left
transverse sinus and it in turn drained to the right
transverse sinus.  __________ venous channel from the fistula
drained into the left internal jugular vein.  She was under
general anesthesia during the procedure.  It was finished at
4 to 5 p.m. on [**9-24**].  She was seen in the PACU by the
interventional neuroradiology staff apparently doing well.

MEDICAL HISTORY: Migraine headaches.

MEDICATION ON ADMISSION: None.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Mother died of cerebrovascular accident.
Father died of coronary artery disease.

SOCIAL HISTORY: No tobacco use.  Occasional alcohol.  She
lives at home with husband.
Cerebral aneurysm, nonruptured,Cortical blindness,Migraine, unspecified, without mention of intractable migraine without mention of status migrainosus
Nonrupt cerebral aneurym,Cortical blindness,Migrne unsp wo ntrc mgrn
Admission Date:  [**2167-9-24**]       Discharge Date:  [**2167-9-28**]

Date of Birth:   [**2111-5-27**]       Sex:  F

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 55 year-old
lady with a diagnosis of a duel AV fistula made in [**2167-4-25**] by angiogram.  She first presented in [**Month (only) 958**] complaining
of a whooshing sound behind her left ear that got very loud
by [**Month (only) 547**].  The only other significant past medical history is
migraines with visual aura.  She is followed by Dr. [**Last Name (STitle) **]
in the [**Hospital 878**] Clinic.  She was admitted on [**9-24**] for
intervention.  Interventional angiogram could not be
embolized from the venous site and external carotid artery
approach was used.  Partial closure of the fistula was
achieved.  The left vein of Labbre drained to the left
transverse sinus and it in turn drained to the right
transverse sinus.  __________ venous channel from the fistula
drained into the left internal jugular vein.  She was under
general anesthesia during the procedure.  It was finished at
4 to 5 p.m. on [**9-24**].  She was seen in the PACU by the
interventional neuroradiology staff apparently doing well.

At 2:30 a.m. the patient complained of bilateral blindness.
She states that she could see light and movement, but was
unable to see color or shapes.  She also states that this has
been present since she awoke from anesthesia.  She was taken
to the MRI/MRA and MRV showed no evidence of an acute stroke.
MRA was normal.  MRV showed normal right transverse sinus
torcular and superior sagittal sinus.  The left transverse
was not well visualized.  The left internal jugular vein was
seen clinically.  The patient states that she improved
slightly and that light seems brighter.  She also complained
of tingling in both hands and pressure sensation all over her
right wrist.  She does have a history of migraines, but has a
slight headache on the left side of her neck and occiput.
She has never had a spell like this before.  Her normal
visual aura is a C shaped wiggly line that starts on the
right side, moves toward the middle over a ten minute period
and then moves back out and goes away.  The last time she had
such a spell was one year ago.

PAST MEDICAL HISTORY:  Migraine headaches.

ALLERGIES:  No known drug allergies.

MEDICATIONS ON ADMISSION:  None.

SOCIAL HISTORY:  No tobacco use.  Occasional alcohol.  She
lives at home with husband.

FAMILY HISTORY:  Mother died of cerebrovascular accident.
Father died of coronary artery disease.

PHYSICAL EXAMINATION:  The patient was alert, oriented times
three, fluent and attentive, normal repetition and aprosody,
followed commands well.  No extinction to double simultaneous
stimuli.  Pupils are equal, round and reactive to light.
Extraocular movements intact.  There was no nystagmus.
Visual fields seemed symmetric and intact.  The trigeminal
nerve was intact.  The face was symmetric.  Tongue was
midline.  Palette went up bilaterally.  Good shoulder shrug.
Motor examination there was no drift.  She has 5 out of 5
strength bilaterally.  Normal tone and bulk.  Sensory
examination showed light touch, temperature, and joint
position sense intact in all four limbs.  No extinction to
double simultaneous stimuli.  Finger to nose with eyes
closed, able to touch her nose without dysmetria.

The remainder of the [**Hospital 228**] hospital course, she was
admitted to the Trauma CICU Service, followed by the medicine
service, followed by the Neurology Floor Service.  Her
laboratories were white blood cell count 14.1, hematocrit
35.1, platelets 279, sodium 139, potassium 2.5, chloride 104,
bicarb 26, BUN 7, creatinine .7, glucose 200, calcium 8.4,
magnesium 1.9, phosphate 2.2.

The patient had no further complaints of blindness.  This
resolved on [**9-25**].  By [**9-27**] she had full visual
fields and her visual acuity was intact.  It remained unclear
as to what the cause of her blindness was.  Workup was
negative as noted above.  The patient was started on aspirin
as an inpatient.  The patient will be discharged on [**2167-9-28**].

DISCHARGE DIAGNOSES:
1.  Cortical blindness, which has resolved.
2.  Angiogram for evaluation and treatment of external
carotid artery dural sinus fistula.
3.  History of migraine headaches.

DISCHARGE MEDICATIONS:  Aspirin 81 mg po q day.

FOLLOW UP:  She will follow up with Dr. [**Last Name (STitle) **] of the
Department of Neurology.

DISCHARGE CONDITION:  She is being discharged in stable
condition.






                            [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 4821**], M.D.  [**MD Number(1) 4822**]

Dictated By:[**Last Name (NamePattern1) 5476**]
MEDQUIST36

D:  [**2167-9-28**]  09:01
T:  [**2167-9-28**]  09:03
JOB#:  [**Job Number **]
{'Cerebral aneurysm, nonruptured,Cortical blindness,Migraine, unspecified, without mention of intractable migraine without mention of status migrainosus'}


You are an AI assistant analyzing clinical admission notes from the MIMIC III dataset. Your task is to map symptoms mentioned in the notes to a list of provided ICD-9 LONG_TEXT.



### Clinical text :
CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 55 year-old
lady with a diagnosis of a duel AV fistula made in [**2167-4-25**] by angiogram.  She first presented in [**Month (only) 958**] complaining
of a whooshing sound behind her left ear that got very loud
by [**Month (only) 547**].  The only other significant past medical history is
migraines with visual aura.  She is followed by Dr. [**Last Name (STitle) **]
in the [**Hospital 878**] Clinic.  She was admitted on [**9-24**] for
intervention.  Interventional angiogram could not be
embolized from the venous site and external carotid artery
approach was used.  Partial closure of the fistula was
achieved.  The left vein of Labbre drained to the left
transverse sinus and it in turn drained to the right
transverse sinus.  __________ venous channel from the fistula
drained into the left internal jugular vein.  She was under
general anesthesia during the procedure.  It was finished at
4 to 5 p.m. on [**9-24**].  She was seen in the PACU by the
interventional neuroradiology staff apparently doing well.

MEDICAL HISTORY: Migraine headaches.

MEDICATION ON ADMISSION: None.

ALLERGIES: No known drug allergies.

PHYSICAL EXAM: 

FAMILY HISTORY: Mother died of cerebrovascular accident.
Father died of coronary artery disease.

SOCIAL HISTORY: No tobacco use.  Occasional alcohol.  She
lives at home with husband. 

### Response:
{'Cerebral aneurysm, nonruptured,Cortical blindness,Migraine, unspecified, without mention of intractable migraine without mention of status migrainosus'}
