A Definite Maybe

Update item information
Identifier walsh_2021_s2_c1-video
Title A Definite Maybe
Creator Raghu C. Mudumbai, Alex Solomon
Subject Myasthenia Gravis; Chronic Progressive External Ophthalmoplegia (CPEO); Autoimmune Diseases
History 73 yo man French-Canadian presented to our institution for another opinion for a long standing diagnosis of Oculopharyngeal Dystrophy given at an outside institution. 17 years ago, the patient developed unfluctuating double vision that progressed to include severe, unfluctuating ptosis and mild dysphagia without involvement of the extremities or trunk. EMG at that time showed myopathy with mild involvement of the limbs and more significant involvement of the muscles of the eye and face. Prior testing was negative for acetylcholine receptor and MUSK antibodies. No other family member is affected. He denied any significant variability in his symptoms and thought it might be secondary to Agent Orange exposure. Examination showed normal vision and color vision, normally reactive pupils without an APD, and normal looking optic nerves and retina. He had severe ptosis requiring taping his eyelids up and severe limitation of eye movement in all fields of gaze. With the limited eye movements and use of prism, he was noted to be orthophoric at distance and and a 6PD exotropia at near.
Relation is Part of NANOS Annual Meeting 2021: Walsh Session II
Contributor Primary Raghu C. Mudumbai, MD
Contributor Secondary Alex Solomon
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2021-02
Type Image/MovingImage
Format video/mp4
Source 53rd Annual Frank Walsh Society Meeting
Rights Management Copyright 2021. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s6sz2chb
Setname ehsl_novel_fbw
Date Created 2021-05-21
Date Modified 2021-05-21
ID 1697341
Reference URL https://collections.lib.utah.edu/ark:/87278/s6sz2chb