Serum Sickness and a Sixth Nerve Palsy

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Identifier walsh_1997_s4_c6
Title Serum Sickness and a Sixth Nerve Palsy
Creator Laura J. Balcer; Steven L. Galetta, MD;Kevin Salhany, MD; Donald C. Lanza, MD
Affiliation (LJB) (SLG) (KS) (DCL) Philadelphia, PA
Subject Diplopia; Multiple Myeloma; Skull Base; Cavernous Sinus; Abducens Nerve Diseases; Esotropia
History A 78-year old female with binocular horizontal diplopia, worse in right gaze and intermittent right frontal headache. Previous history significant for non-insulin-dependent diabetes mellitus, hypertension, hyperclosterolemia, arthritis, coronary artery disease and atrial fibrillation. Bilateral cataract extractions 5 years prior to presentation.
Pathology Right clival tumor composed of atypical plasma cells consistent with plasmacytosis; Myeloma involving femurs, humeri and T11 vertebral body
Disease/Diagnosis Multiple myeloma involving skull base and covernous sinus
Clinical VA: Best-corrected, 20/30 OD, 20/20 OS. Normal color vision OU
Presenting Symptom Diplopia; Headache
Neuroimaging MRI
Treatment Surgery; Antineoplastic agents; XRT
Date 1997
References Attached
Language eng
Format application/pdf
Type Text
Source 23rd Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM
Relation is Part of 1997 Walsh Session, April 5-6
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 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s64f1tfc
Setname ehsl_novel_fbw
ID 177988
Reference URL https://collections.lib.utah.edu/ark:/87278/s64f1tfc