| Identifier |
walsh_1995_s4_c1 |
| Title |
The Irony of It All |
| Creator |
Steven L. Galetta, MD; Lawrence Kenyon, MD, PhD; Nicholas Volpe, MD; Anne L. Frattalli, MD, PhD; Michael Murray, MD; Eric C. Raps, MD |
| Affiliation |
(SLG) (LK) (NV) (ALF) (MM) (ECR) University of Pennsylvania Medical Center, Philadelphia, PA |
| Subject |
Myelodysplastic Syndromes; Mucor; Mucormycosis; Deferoxamine; Siderophores; Papilledema; Oculomotor Nerve Diseases; Hemianopsia |
| History |
A 64-year old female with a 4-year history of transfusion-dependent myelodysplasia noted right facial pain radiating from the angle of the jaw to the temporal area. The pain was attributed to sinus disease and empirically treated with oral antibiotics. Four weeks later, she awoke with NLP OD. Previous history significant for surgically-treated colon cancer, coronary artery disease and splenectomy Tx prednisone, deferoxamine and cardizem. |
| Pathology |
Infarcts of basal ganglia, thalami, midbrain and pons |
| Disease/Diagnosis |
Deferoxamine-associated angioinvasive mucormycosis |
| Clinical |
VA:NLP OD, 20/25 OS;.S.. Amaurotic right pupil; Swollen right retina and optic nerve. |
| Presenting Symptom |
Facial pain; Loss of vision OD |
| Neuroimaging |
CT; MRI |
| Treatment |
Anti-bacterial agents; Anticoagulants |
| Date |
1995 |
| References |
Attached |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
21st Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM |
| Relation is Part of |
1995 Walsh Session, April 8-9 |
| 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/s6sf2zxk |
| Setname |
ehsl_novel_fbw |
| ID |
177921 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6sf2zxk |
