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 |