Urgent, Double Vision, and Head Games (Presentation Video)

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Identifier walsh_2008_s3_c4_video
Title Urgent, Double Vision, and Head Games (Presentation Video)
Creator Joseph Chacko
Affiliation Little Rock, Arkansas
Subject Carcinoma, Bronchogenic; Myasthenia Gravis; Ophthalmoplegia; Adenocarcinoma; Diplopia; Blepharoptosis; Oculomotor Nerve Diseases; Deglutition Disorders
History A 64-year old female with 3-month history of horizontal and vertical double vision and a droopy right upper lid. Previous history significant for diabetes and hypertension. Family history remarkable for stroke and cerebral aneurysm.
Pathology Striational antibodies consistent with myasthenia gravis.
Disease/Diagnosis Paraneoplastic myasthenia gravis associated with primary pulmonary adenocarcinoma
Clinical VA; Best-corrected, 20/30 OD, 20/20 OD; Color plates 10/10 OU
Presenting Symptom Horizontal and vertical double vision; Droopy right upper lid
Neuroimaging CT; MRI
Treatment Steroids, IV immunoglobulin; Anticholinesterase agents
Date 2008-03
References 1. Hedges. Ophthalmoplegia of myasthenia and bronchial neoplasm. Arch Ophthalmol, 70, 333, 1963. 2. Romi, Skeie, Gilhus, Aarli. Striational antibodies in myasthenia gravis: reactivity and possible clinical significance. Arch Neurol, 62(3), 442, 2005. 3. Leavitt. Myasthenia gravis with a paraneoplastic marker. J Neuro-Ophthalmol, 20(2), 102, 2000.
Language eng
Format video/mp4
Type Image/MovingImage
Source 40th Annual Frank Walsh Society Meeting
Relation is Part of NANOS Annual Meeting Frank B. Walsh Sessions; 2008
Collection Neuro-Ophthalmology Virtual Education Library: Walsh Session Annual Meeting Archives: https://novel.utah.edu/Walsh/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management Copyright 2002. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s61n8402
Setname ehsl_novel_fbw
ID 178755
Reference URL https://collections.lib.utah.edu/ark:/87278/s61n8402