| Identifier |
walsh_2009_s1_c5 |
| Title |
Recurrent Uveitis and a Homonymous Visual Field Defect with Ring-Enhancing MRI Lesion: It's All Negative |
| Creator |
Elena Sokolova; John E. Carter; Carlos Bazan; James Henry; Michelle Harris |
| Affiliation |
University of Texas Health Science Center, San Antonio, Texas |
| Subject |
Central Nervous System; Uveitis; Actinomycetales Infections; Whipple Disease; Retinal Hemorrhage; Gliosis; Papilledema; Hemianopsia; Pupil Disorders; Periodic Acid-Schiff Reaction |
| History |
A 36-year old male with decreased vision OU and left frontal headache. An episode of self-reported red eye treated with topical steroids 6 months previous to presentation. Previous history significant for hypertension and possible bi-polar disorder with paranoia. |
| Pathology |
CNS inflammatory lesion |
| Disease/Diagnosis |
CNS Whipple disease |
| Clinical |
VA: 20/15 OD, 20/200 OS; Color plates: 12/12 OU; RAPD OS; Right/temporal field defect OD |
| Presenting Symptom |
Progressive loss of vision OU; Headache |
| Neuroimaging |
MRI |
| Treatment |
Surgery; IV anti-bacterial agents |
| Date |
2009-02 |
| References |
1. Knox DL, Green WR, Troncoso JC, Yardley JH, Hsu QOD, Zee DS. Cerebral ocular Whipple's disease: a 62-year odyssey from death to diagnosis. Neurology 45:61 7-625, 1 995. 2. Fenollar, F. Whipple's Disease. N Engl J Med 356:55-66, 2007. 3. Lynch T. Odel J. Fredericks DN. Louis ED. Forman S. Rotterdam H. Fahn S. Relman DA. Polymerase chain reaction-based detection of Tropheryma whippelii in central nervous system Whipple's disease. Annals of Neurology. 42:120-4, 1 997. 4. Louis ED. Lynch T. Kaufmann P. Fahn S. Odel J. Diagnostic guidelines in central nervous system Whipple's disease. Annals of Neurology. 40:561 -8, 1 996. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
41st Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2009 |
| 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 2002. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6nk3hvt |
| Setname |
ehsl_novel_fbw |
| ID |
178727 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6nk3hvt |
