19-year-old Man with Dizziness and Blackout Spells (Presentation Video)
Creator
Neil R. Miller, MD; Jaishri Blakeley, MD
Affiliation
Baltimore, MD
Subject
Papilledema; Meningeal Neoplasms; Melanoma; Lethargy; Confusion; Optic Disk
History
A 19-year old male with history of bizarre behavior, dizziness and black-out spells. Initial manifestation a self-described head rush followed by a black-out spell while at work. 2 months later, patient developed a right facial droop and expressive aphasia.
Pathology
Perivascular invasion of melanocytes to the brain and spinal cord.
Disease/Diagnosis
Leptomeningeal melanomatosis
Clinical
Normal visual acuity and color vision; Bilateral optic disc swelling
Presenting Symptom
Dizziness with episodic black-out; Lethargy; Confusion
Neuroimaging
CT; MRI
Treatment
XRT; Antineoplastic agents
Date
2005
References
Attached
Language
eng
Format
video/mp4
Type
Image/MovingImage
Source
31st Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM
Relation is Part of
NANOS Annual Meeting Frank B. Walsh Sessions; 2005
