| Identifier | walsh_2011_s3_c1 |
| Title | What's In a Name? (Presentation Video) |
| Creator | Nicholas Volpe; Allan Wulc; Jodi Sasson; Myron Yanoff |
| Affiliation | (NV) Northwestern University, Feinberg School of Medicine, Chicago, IL; (JS) CBL Pathology, Ryebrook, NY; (AW) (MY) Drexel University College of Medicine, Philadelphia, PA |
| Subject | Scleritis; Diplopia; Optic Neuropathy, Ischemic; Vasculitis, Central Nervous System; Wegener Granulomatosis |
| History | 76-year old male; five year history of muscle pain and arthralgia; four year history of PMR symptoms; gastrointestinal illness. |
| Pathology | Intraconal mass which demonstrated heterogeneous enhancement and appeared to extend to the optic canal; an extensive necrotizing process with palisading histiocytes and multinucleate giant cells with an inflammatory infiltrate, including neutrophils, lymphocytes, and plasma cells |
| Disease/Diagnosis | Necrotizing granulomatous inflammation of the orbit and sclera without systemic disease |
| Clinical | 20/20-2 in the right side, light perception in the left side. |
| Presenting Symptom | Ptosis; impaired eye movements; headache; forehead numbness |
| Neuroimaging | CT; MRI |
| Treatment | Low dose steroids; Mycophenolate |
| Date | 2011-02 |
| References | 1. Woo T, Francis I, Wilcsek G, et al. Australasian Orbital and Adnexal Wegener's Granulomatosis. Ophthalmology 108(9): 1535-1542, 2001. 2. Ahmed M, Niffenegger J, Jakobiec F, et al. Diagnosis of limited ophthalmic Wegener Granulomatosis: distinctive pathologic features with ANCA test confirmation. Int Ophthalmol 28:35-46, 2008. 3. Harman L, Margo C. Wegener's Granulomatosis. Survey of Ophthalmology 42: 458-480, 1998. 4. Rao J, Weinberger M, Oddone E. The Role of Antineutrophil Cytoplasmic Antibody (c-ANCA) Testing in the Diagnosis of Wegener Granulomatosis. Annals of Internal Medicine 123:925-932, 1995 |
| Language | eng |
| Format | video/mp4 |
| Type | Image/MovingImage |
| Source | 43rd Annual Frank Walsh Society Meeting |
| Relation is Part of | NANOS Annual Meeting 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/s69s1tw6 |
| Setname | ehsl_novel_fbw |
| ID | 179016 |
| Reference URL | https://collections.lib.utah.edu/ark:/87278/s69s1tw6 |