| Identifier |
walsh_2012_s3_c3 |
| Title |
A Mystery Case of Proptosis, Optic Neuropathy, and Peripheral Neuropathy |
| Creator |
Bonnie Keung; Judith Warner; Kathleen Digre; Bradley Katz; Steven Chin; Lubdha Shah; Danielle Eckart |
| Affiliation |
University of Utah, Salt Lake City, UT |
| Subject |
Charcot-Marie-Tooth Disease; Polyradiculoneuropathy, Chronic Inflammatory Demyelinating; Multiple Sclerosis |
| History |
Age 7 - headaches and vision loss to count fingers in left eye; Age 13 - diagnosed with multiple sclerosis; Age 22 - diplopia thought to be bilateral INO; identical twin with sequential bilateral optic neuritis at 8 years, diagnosis of multiple sclerosis at 12 years, and repeated exacerbations of gait impairment |
| Pathology |
Nerve fascicles with loss of large and small myelinated nerve fibers; thin myelin sheathes and frequent 'onion-bulb' formations with concentric layers of Schwann cell processes |
| Disease/Diagnosis |
Combined central and peripheral myelinopathy |
| Clinical |
20/20 OU; left RAPD; 3 mm right proptosis; -3 adduction in right eye; -2 abduction in left eye; -1 elevation deficit bilaterally; one Lisch nodule; one cafe au lait spot less than 2 cm; Optic nerves appeared pale OS > OD. |
| Presenting Symptom |
A 23 year-old female with proptosis and ophthalmoplegia. |
| Neuroimaging |
MRI |
| Date |
2012-02 |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
44th Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2012 |
| 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 2012. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6np2790 |
| Setname |
ehsl_novel_fbw |
| ID |
179114 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6np2790 |
