| Identifier |
walsh_2011_s2_c2_ppt |
| Title |
Poor Visual Recovery Following Treatment of Panuveitis in a 62 Year-old Man with Biopsy-proven Sarcoidosis (PowerPoint) |
| Creator |
Jeffrey Gelfand; Jacque Duncan; Ari Green |
| Affiliation |
(JG) (AG) UCSF Department of Neurology, San Francisco, CA; (JD) UCSF Department of Ophthalmology, San Francisco, CA |
| Subject |
Sarcoidosis; Herpesviridae Infections; Meningitis; Panuveitis; Retinal Vasculitis; Retinal Necrosis Syndrome, Acute; Pupil Disorders; Optic Nerve Diseases |
| History |
A 62-year old male with blurred vision OS, progressive gait instability, episodic falling and confusion. Previous history significant for LP that revealed meningitis and lung and hilar lymph node biopsies that demonstrated sarcoidosis. |
| Pathology |
VZV infection associated with VZV meningitis. |
| Disease/Diagnosis |
1) Progressive Outer Retinal Necrosis OU due to varicella zoster virus infection, with associated VZV meningitis. 2) Likely infectious optic neuropathy OS due to varicella zoster virus, masquerading initially as sarcoid optic neuropathy. |
| Clinical |
VA: 20/200 OS declining to NLP; RAPD OS; IOP: 8 OS; Retinal vasculitis OD |
| Presenting Symptom |
Blurred vision OS; Uveitis |
| Neuroimaging |
MRI |
| Treatment |
Surgery; Steroids; IV antiviral agents; Immunosuppressive agents |
| Date |
2011-02 |
| References |
1. Nakamoto, BK, et. al. Progressive outer retinal necrosis presenting with isolated optic neuropathy. Neurology 63(12), 2423-5, 2004. 2. Benz, MS, et. al. Progressive outer retinal necrosis in immunocompetent patients treated initially for optic neuropathy with systemic corticosteroids. American Journal o f Ophthalmology 135(4), 551-3, 2003. 3. Franco-Paredes, C, et. al. Aseptic meningitis and optic neuritis preceding varicella-zoster progressive outer retinal necrosis in a patient with AIDS. AIDS 16(7), 1045-9, 2003. 4. Lewis, JM, et. al. Progressive outer retinal necrosis after bone marrow transplantation. American Journal o f Ophthalmology 122(6), 892-5, 1996. 5. Salama B, et. al. Optic neuropathy in refractory neurosarcoidosis treated with TNF-alpha antagonist. Canadian Journal o f Ophthalmology 41(6), 766-8, 2006. |
| Language |
eng |
| Format |
application/pdf |
| Format Creation |
Microsoft PowerPoint |
| Type |
Text |
| Source |
43rd Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2011 |
| 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 2011. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s670848z |
| Setname |
ehsl_novel_fbw |
| ID |
179009 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s670848z |
