The Costs of Containment

Update Item Information
Identifier walsh_2012_s4_c1
Title The Costs of Containment
Creator Jeffrey Gelfand
Subject Optic Nerve Diseases; Paraneoplastic Syndromes, Ocular; Adenocarcinoma; Scotoma; Neoplasm Metastasis
History A 68-year old male with 1-1/2 year history of painless blurred vision OU. Previous history significant for subacute paraparesis from spinal meningitis (subsequently resolved), ischemic optic neuropathy with residual central loss of vision OS. Remote history of a 78 pack-year of smoking.
Pathology Metastatic poorly-differentiated adenocarcinoma
Disease/Diagnosis Paraneoplastic optic neuropathy associated with adenocarcinoma of the lung/mediastinum
Clinical VA: Best-corrected, 20/40 OD, 20/200 OS; Reduced low-contrast and color vision the left > right; Optic nerve atrophy OS worse than OD; Central scotoma
Presenting Symptom Blurred vision OU
Neuroimaging MRI; PET/CT
Treatment Gamma knife surgery; Antineoplastic agents; IV neuroprotective agents; IVIG
Date 2012-02-12
References Attached
Language eng
Format application/pdf
Type Text
Source 44th Annual Frank Walsh Society Meeting
Relation is Part of Case presented at the NANOS 2012 Walsh Session, February 12
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2012. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6jw8hrj
Contributor Primary Gelfand, Jeffrey
Contributor Secondary Thirkill, Charles; Keltner, John; Green, Ari
Setname ehsl_novel_fbw
ID 179107
Reference URL https://collections.lib.utah.edu/ark:/87278/s6jw8hrj