Diplopia, Dysarthria, and Dizziness from Subarachnoid Fat?

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Identifier walsh_2007_s4_c1
Title Diplopia, Dysarthria, and Dizziness from Subarachnoid Fat?
Creator Neil R. Miller, MD, Professor of Ophthalmology, Johns Hopkins University
Subject Diplopia; Dysarthria; Dizziness; Trochlear Nerve Diseases; Neurotoxicity Syndromes; Diagnostic Imaging; Contrast Media; Iophendylate
History A 66-year old female with sudden oblique double vision, isolated left IV nerve palsy and bilateral peripheral vestibular dysfunction. Previous history significant for hypertension, colonic polyps and degenerative joint disease of the spine which required several surgeries.
Pathology Focal and neurologic deficits caused from adverse effects of iophendylate deposition.
Disease/Diagnosis Focal inflammation from iophendylate deposits in subarachnoid space
Clinical N/A
Presenting Symptom Diplopia; Impaired balance
Neuroimaging MRI
Treatment Surgery
References 1. Junck L, Marshall WH. Neurotoxicity of radiocontrast agents. Ann Neurol 13:469-484, 1983. 2. Pascuzzi RM, Roos KL, Scott JA. Chronic focal seizure disorder as a manifestation of intracranial iophendylate. Epilepsia 29:294-296, 1988. 3. Mizuno M, Yamasoba T, Nomura Y. Vestibular disturbance after myelography. Contrast media in the internal auditory canal. ORL 54:113-115, 1992. 4. Wong CK, Woo E, Yu YL. Iophendylate-induced basal arachnoiditis. Clin Exp Neurol 54:199-204, 1992. 5. Tabbador K.Unusual complications of iophendylate injection myelography. Arch Neurol 29:435-36, 1973.
Language eng
Format application/pdf
Type Text
Source 39th Annual Frank Walsh Society Meeting
Relation is Part of Case 1, Session 4, Walsh Session, NANOS 2007
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6028vb2
Contributor Primary Miller, Neil R.
Setname ehsl_novel_fbw
ID 178322
Reference URL https://collections.lib.utah.edu/ark:/87278/s6028vb2