One Peak is Worth Twenty Finesses - Slides

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Identifier walsh_2018_s2_c1-2
Title One Peak is Worth Twenty Finesses - Slides
Creator Steven Newman; James Mandell
Affiliation (SN) (JM) University of Virginia, Charlottesville, Virginia
Subject Chemotherapy, Orbit, Tumor
History An 8 year old was referred with a one week history of swelling around her left eye. She was not aware of any change in her vision or double vision. Visual acuity was 20/20 OD and 20/25 OS. Visual fields demonstrated minimal scattered desaturation with < ½ dB asymmetry between the two sides. External examination demonstrated Hertels of 14 and 25 with moderate resistance to retropulsion OS. Pupils were reactive without afferent pupillary defect. Motility revealed minimal limitation in elevation OS. Slight lamp examination was unremarkable. Rebound pressures were 18 and 16. OCT demonstrated average nerve fiber layer thickness of 102 microns OD and 101 OS without retinal striae. CT scan and MRI scan were done prior to referral were said to show a meningioma and neurosurgery was consulted. Pediatric Oncology was concerned about the rapid onset and suggested orbitotomy and or craniotomy.
Disease/Diagnosis Ewing's family sarcoma of the orbit and anterior cranial fossa
Date 2018-05
References Alfaar AS, Zamzam M, Abdalla B, et al. Childhood Ewing sarcoma of the orbit. Journal of Pediatric Hematology/Oncology 2015; 37: 433-7 Apostolopoulos K; Ferekidis E. Extenstive primary Ewing's sarcoma in the greater wing of the sphenoid bone. Journal of Oto-Rino-Laryngology & Its Related Specialties 2003; 65: 235-7 Dutton JJ, Rose JG Jr., DeBacker CM, Gayre G. Orbital Ewing's sarcoma of the orbit. Ophthalmic Plastic & Reconstructive Surgery 2000; 16: 292-300 Harbert F, Tabor GL,Jr. Ewing's tumor of the orbit, report of 2 cases. American Journal of Ophthalmology 1950; 33: 1219-25 Henderson JW. Orbital Tumors 3rd ed. Raven Press, New York 1984: 184-187 Kano T, Sasaki A, Tomizawa S, et all. Primary Ewing's sarcoma of the orbit. Brain Tumor Pathology 2009; 26: 95-100
Language eng
Format application/pdf
Format Creation Microsoft PowerPoint
Type Text
Source 2018 North American Neuro-Ophthalmology Society Annual Meeting
Relation is Part of NANOS Annual Meeting Frank B. Walsh Sessions; 2018
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 2018. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6hq8388
Setname ehsl_novel_fbw
ID 1326597
Reference URL https://collections.lib.utah.edu/ark:/87278/s6hq8388
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