| Identifier |
walsh_2013_s4_c3-1 |
| Title |
Admissions Ad Nauseum: A Cryptic Case of Chiasmopathy |
| Creator |
Simpson, Sara A; Merkler, Alex; Lavi, Ehud; Safedieh, Joseph; Segal, Alan; Dinkin, Marc |
| Subject |
Cryptococcal Meningitis; Leptomeningeal disease; Chiasmopathy |
| Presenting Symptom |
A 38 year old healthy female presented with blurred vision. |
| Clinical |
Visual acuity of 20/200 OD and 20/50 OS, a central scotoma OD and a temporal hemianopia OS. VEP, SSEP, BAEP were all unrevealing. ANA was elevated at 1:320. Lumbar puncture (LP) had elevated opening pressure of 31 cm of water, WBC 34, protein of 231, glucose <10 and positive oligoclonal bands. |
| Neuroimaging |
MRI; PET Scan; CT Scan |
| Pathology |
A mucicarmine stain of the pituitary biopsy was positive, consistent with the presence of mucopolysaccharides on the capsule of cryptococcal yeast at the time of the biopsy. The speciation of the yeast was Cryptococcus neoformans var grubii, commonly found in eucalyptus plant, wood and pigeon feces and found around the world. |
| Disease/Diagnosis |
Cryptococcal neoformans var grubii meningitis |
| Treatment |
Methylprednisolone |
| References |
Attached |
| Relation is Part of |
Case presented at the NANOS 2013 Walsh Session, February 10 |
| Contributor Primary |
Thurtell, Matthew J |
| Contributor Secondary |
Van Stavern, Gregory P |
| Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Date |
2013-02-10 |
| Type |
Text |
| Format |
application/pdf |
| Source |
45th Annual Frank Walsh Society Meeting |
| Holding Institution |
North American Neuro-Ophthalmology Association (NANOS), Copyright 2013. For further information regarding the rights to this collection, please visit http://library.med.utah.edu/NOVEL |
| Collection |
Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu |
| Language |
eng |
| ARK |
ark:/87278/s6sb73bg |
| Setname |
ehsl_novel_fbw |
| Date Created |
2013-12-12 |
| Date Modified |
2021-05-06 |
| ID |
179176 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6sb73bg |
