Identifier |
walsh_2007_s1_c2 |
Title |
Rectifying the Apposite Diagnosis |
Creator |
Beau Bruce, MD; Mahtab Tehrani, MD; Mark Melson, MD; Nancy Newman, MD; Valerie Biousse, MD |
Affiliation |
Atlanta, GA |
Subject |
Meningeal Carcinomatosis; Rectal Neoplasms; Pupil Disorders; Papilledema; Exotropia; Neoplasm Metastasis |
History |
A 65-year old male with a 6 week history of progressive balance difficulties, bilateral hearing loss and loss of vision OD. Previous history significant for hypertension and rectal cancer Tx surgery, antineoplastic agents and XRT. |
Pathology |
Cerebellopontine mass lesion showing signet ring adenocarcinoma. |
Disease/Diagnosis |
Metastatic spread of colorectal carcinoma to the meninges |
Clinical |
VA: HM OD, 20/25 OS; RAPD OD |
Presenting Symptom |
Progressive balance difficulties; Bilateral hearing loss; Loss of vision OD |
Neuroimaging |
MRI |
Treatment |
Steroids |
Date |
2007-02 |
References |
1. Hayreh SS, Podhajsky P, Zimmerman MB. Ocular and optic nerve head ischemic disorders and hearing loss. Am J Ophthalmol 1999;128:606-611. 2. Kramer MR, Nesher G, Sonnenblick M. Steroid-responsive hearing loss in temporal arteritis. J Laryngol Otol. 1988;102:524-5. 3. Wolfovitz E, Levy Y, Brook JG. Sudden deafness in a patient with temporal arteritis. J Rheumatol. 1987;14:384-5. 4. Jayson GC, Howell A. Carcinomatous meningitis in solid tumors. Ann Oncol 1996; 7:773-786. 5. Giglio P, Weinberg JS, Forman AD, Wolff R, Groves MD. Neoplastic meningitis in patients with adenocarcinoma of the gastrointestinal tract. Cancer 2005;103:2355-62. |
Language |
eng |
Format |
application/pdf |
Type |
Text |
Source |
39th Annual Frank Walsh Society Meeting |
Relation is Part of |
Case 2, Session 1, Walsh Session, NANOS 2007 |
Collection |
Neuro-Ophthalmology Virtual Education Library - Walsh Session Annual Meeting Archives https://novel.utah.edu/Walsh/index3.html |
Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-6637 |
Rights Management |
Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
ARK |
ark:/87278/s62z189h |
Setname |
ehsl_novel_fbw |
ID |
178298 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s62z189h |