| Identifier |
walsh_2013_s4_c1-2 |
| Title |
Raise Your Grade Point Average |
| Creator |
Hilary M. Grabe; Jeffrey L. Myers; Douglas J. Quint; Victor M. Elner; Jonathan D. Trobe |
| Affiliation |
(HMG) (VME) (JDT) University of Michigan/Department of Ophthalmology and Visual Sciences, Ann Arbor, MI; (JLM) (VME) University of Michigan/Department of Pathology, Ann Arbor, MI; (DJQ) University of Michigan/Department of Radiology, Division of Neuroradiology, Ann Arbor, MI; (JDT) University of Michigan/Department of Neurology, Ann Arbor, MI |
| History |
Two years earlier, he had had persistent hearing loss in the left ear attributed elsewhere to infection. One year later, he developed left facial weakness diagnosed as Bell's palsy, treated with corticosteroids without recovery. A few months later, he became hoarse and had difficulty swallowing. |
| Pathology |
Diagnosis is granulomatosis with polyangiitis (GPA), previously known as Wegener's granulomatosis. It caused scleritis and secondary globe rupture, the nasopharyngeal/intracranial mass with mononeuritis multiplex (cranial nerves 7-11), and lung lesions. |
| Disease/Diagnosis |
Granulomatosis with polyangiitis (Wegener's granulomatosis) |
| Clinical |
Neurologic examination disclosed left hypesthesia of all three trigeminal divisions, left facial weakness, left neurosensory hearing loss, and left sternocleidomastoid and trapezius weakness. |
| Presenting Symptom |
A cocaine-abusing 51 year-old man complained in May 2012 of left eye decreased vision and pain for several months. |
| Neuroimaging |
CT Scan; MRI |
| Treatment |
Prednisone; Rituximab |
| Date |
2013-02 |
| References |
1. Murphy JM, et al. Wegener granulomatosis: MR imaging findings in brain and meninges. Radiology, 213, 794-799, 1999. 2. Colby TV, Tazelaar HD, Specks U, DeRemee RA. Nasal biopsy in Wegener's granulomatosis. Human Pathology , 22, 101-104, 1991. 3. Del Buono EA, Flint A. Diagnostic usefulness of nasal biopsy in Wegener's granulomatosis. Human Pathology, 22, 107-110, 1991. |
| Language |
eng |
| Format |
video/mp4 |
| Type |
Image/MovingImage |
| Source |
45th Annual Frank Walsh Society Meeting |
| Relation is Part of |
Case presented at the NANOS 2013 Walsh Session, February 10 |
| Collection |
Neuro-Ophthalmology Virtual Education Library - Walsh Session Annual Meeting Archives https://novel.utah.edu/Walsh/index3.html |
| Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-6346 |
| Rights Management |
Copyright 2013. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6cv7fb2 |
| Setname |
ehsl_novel_fbw |
| ID |
179241 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6cv7fb2 |
