| Identifier |
walsh_2011_s4_c1 |
| Title |
Tics and Fleas |
| Creator |
Nancy Newman; Valerie Biousse; Daniel Brat |
| Affiliation |
Emory University, Atlanta, GA |
| Subject |
Trigeminal Nerve Diseases; Carcinoma, Squamous Cell; Reed-Sternberg Cells; Hodgkin Disease; Trigeminal Neuralgia; Diplopia |
| History |
A 61-year old female with tic douloureux and diplopia. Previous history significant for squamous cell skin cancer below right eye, surgically resected. Dx atypical trigeminal neuralgia after neurological consult following administration of local anesthetic for basal cell carcinoma resection. |
| Pathology |
Neutrophic spread of squamous cell carcinoma; Small non-caseating granulomas with scatters of enlarged atypical cells with enlarged nuclei characteristic of Reed-Sternberg cells. |
| Disease/Diagnosis |
Perineural spread of squamous cell carcinoma of the face and Hodgkin's lymphoma |
| Clinical |
Complete right abduction deficit; Decreased sensation in right V1, V2, V3 |
| Presenting Symptom |
Tic douloureux; Horizontal binocular diplopia |
| Neuroimaging |
MRI; MRA |
| Treatment |
Surgery; Antineoplastic antibiotics; XRT |
| Date |
2011-02 |
| References |
1. Leach BC, Kulbersh JS, Day TA, Cook J. Cranial neuropathy as a presenting sign of recurrent aggressive skin cancer. Dermatol Surg. 2008 Apr;34(4):483-97. 2. Liebig C, Ayala G, Wilks JA, Berger DH, Albo D. Perineural invasion in cancer: a review of the literature. Cancer. 2009 Aug 1;115(15):3379-91. 3. Maroldi R, Farina D, Borghesi A, Marconi A, Gatti E. Perineural tumor spread. 4. Neuroimaging Clin N Am. 2008 May;18(2):413-29, xi. 5. Ibrahim M, Parmar H, Gandhi D, Mukherji SK. Imaging nuances of perineural spread of head and neck malignancies. J Neuroophthalmol. 2007 Jun;27(2):129-37. 6. Parker GD, Harnsberger HR. Clinical-radiologic issues in perineural tumor spread of malignant diseases of the extracranial head and neck. Radiographics. 1991 May;11(3):383-99. |
| Language |
eng |
| Format |
application/pdf |
| 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/s6hh6nxk |
| Setname |
ehsl_novel_fbw |
| ID |
178999 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6hh6nxk |
