| Identifier |
walsh_2019_s3_c1 |
| Title |
Every Rose Has Its Thorn |
| Creator |
William Anderson; Aseem Sharma; Miguel Guzman; Sophia Chung |
| Affiliation |
(WA) (MG) (SC) Saint Louis University School of Medicine, Saint Louis, Missouri; (AS) Washington University School of Medicine, Saint Louis, Missouri |
| Subject |
Infection; Tumor; Nystagmus |
| History |
A 26-year-old woman presented with a one-year history of horizontal binocular diplopia on far-right gaze. During a routine eye examination for contact lenses, she was found to have a gaze paretic nystagmus on far-right gaze. The patient also offered a one-year history of right-sided instability and balance issues. MRI was done, and she was admitted to our institution for further evaluation and management. Further history revealed that she experienced diplopia in primary position after running a mile. She denied headache, nausea, vomiting, and other visual symptoms. She denied antecedent trauma or illness. She denied variability of diplopia or associated ptosis. Neuro-ophthalmologic examination showed 20/20 vision bilaterally, with normal pupils and color vision. External examination revealed mild orbicularis weakness. Corneal sensation was mildly reduced in both eyes. Motility showed a mild right esotropia on right gaze from a subtle sixth nerve paresis. There was a gaze paretic nystagmus in right gaze as well. Slit lamp examination was normal. Fundus examination was normal with pink optic nerves. General neurologic examination showed no other focal deficits. MRI was reviewed; CT head and MRI spine were additional tests performed. Spinal fluid analysis was not done because of concerns for herniation. Numerous laboratory studies were performed. A diagnostic procedure was performed. |
| Disease/Diagnosis |
Rosette-forming glioneuronal tumor (although another low grade glioneuronal tumor could not be negated) |
| Date |
2019-03 |
| References |
1. Yang C, Fang J, Li G, Li S, Ha T, Wang J, et al. Histopathological, molecular, clinical and radiological characterization of rosette-forming glioneuronal tumor in the central nervous system. Oncotarget. 2017;8(65):109175-90. 2. Medhi G, Prasad C, Saini J, Pendharkar H, Bhat MD, Pandey P, et al. Imaging features of rosette-forming glioneuronal tumours (RGNTs): A Series of seven cases. Eur Radiol. 2016;26(1):262-70. 3. Zhang J, Babu R, McLendon RE, Friedman AH, Adamson C. A comprehensive analysis of 41 patients with rosette-forming glioneuronal tumors of the fourth ventricle. J Clin Neurosci. 2013;20(3):335-41. 4. Marhold F, Preusser M, Dietrich W, Prayer D, Czech T. Clinicoradiological features of rosette-forming glioneuronal tumor (RGNT) of the fourth ventricle: report of four cases and literature review. J Neurooncol. 2008;90(3):301-8. 5. Gao L, Han F, Jin Y, Xiong J, Lv Y, Yao Z, et al. Imaging features of rosette-forming glioneuronal tumours. Clin Radiol. 2018;73(3):275-82. 6. Kim SW, Kim MK, Oh SM, Park SH. Racemose cysticercosis in the cerebellar hemisphere. J Korean Neurosurg Soc. 2010;48(1):59-61. |
| Language |
eng |
| Format |
video/mp4 |
| Type |
Image/MovingImage |
| Source |
2019 North American Neuro-Ophthalmology Society Annual Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2019 |
| 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 2019. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6838951 |
| Setname |
ehsl_novel_fbw |
| ID |
1431966 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6838951 |
