Ophthalmoplegia, Ataxia and Repriratory Failure

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Identifier walsh_1987_s4_c1
Title Ophthalmoplegia, Ataxia and Repriratory Failure
Creator Robert S. Hepler, MD; Robert D. Yee, MD; Harry V. Vinters, MD
Affiliation (RSH) (RDY) (HVV) Los Angeles, CA
Subject Paraneoplastic Syndromes, Nervous System; Ophthalmoplegia; Ataxia; Carcinoma, Renal Cell; Neoplasm Metastasis; Hematuria; Nystagmus, Pathologic; Dizziness; Diplopia
History A 58-year old male with diplopia, dizziness, fatigue and difficulty walking. Previous history significant for renal cell carcinoma discovered during nephrectomy of the right kidney.
Pathology Paraneoplastic encephalitis of pons, medulla and left VIII nerve
Disease/Diagnosis Paraneoplastic syndrome associatec with renal cell carcinoma
Clinical Diplopia; Nystagmus; Gait disturbances and dizziness
Presenting Symptom Diplopia; Dizziness; Difficulty walking; Fatigue; Loss of hearing AS
Neuroimaging CT; MRI
Treatment IV steroids
Date 1987
References 1. Henson RA and Urich H. Cancer and the nervous system: the neurological manifestations of systemic malignant disease. Boston, Blackvell, 1982. 2. Palma GP. Paraneoplastic syndromes of the nervous system. Vest J Med 142:787-796, 1985. 3. Dietl HV, Puist SM, Engelhardt P and Mehraein P. Paraneoplastic brainstem encephalitis with acute dystonia and central hypoventilation. J Neurol 227:229-238, 1982. 4. Halperin JJ, Richardson EP, Ellis J, Ross JS and Vray SH. Paraneoplastic encephalomyelitis and neuropathy. Report of a case. Arch Neurol 38:773-775, 1981. 5. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 30-1985. A 52 year-old woman with a progressive neurologic disorder and a pelvic mass. N Engl J Med 313:249-257, 1985. 6. Chagnac A, Gal R, Kimche D, Zevin D, Machtey I and Levi J. Liver granulomas: a possible paraneoplastic manifestatin of hypernephroma. Amer J Gastroenterol 80:989-992, 1985.
Language eng
Format application/pdf
Type Text
Source 1987 Walsh Proceedings
Relation is Part of 1987 Walsh Session, February 20-21
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 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6kh0r59
Setname ehsl_novel_fbw
ID 178774
Reference URL https://collections.lib.utah.edu/ark:/87278/s6kh0r59