| Identifier |
walsh_2008_s1_c2 |
| Title |
A Bad Case of Sinusitis |
| Creator |
Alex Fraser; Alain Proulx; Simon Levin |
| Affiliation |
London, Ontario, Canada |
| Subject |
Cerebellar Diseases; Miller Fisher Syndrome; Ocular Motility Disorders; Diplopia; Ophthalmoplegia; Blepharoptosis; Sinusitis |
| History |
A 17-year old male with Crohn's disease maintained on azathioprine and prednisone developed abdominal pain and bloody stools eight days after prednisone taper. NG flushes produced cold pressure sensation behind right eye, photophobia and headache. |
| Pathology |
Inflammatory thickening of dura and cranial nerves within left cavernous sinus. |
| Disease/Diagnosis |
Miller Fisher Syndrome |
| Clinical |
VA: Normal; Bilateral partial ptosis; IV and VI nerve palsy |
| Presenting Symptom |
Horizontal double vision; Headache; Photophobia |
| Neuroimaging |
CT; MRI |
| Treatment |
IV anti-bacterial agents; IVIG |
| Date |
2008-03 |
| References |
1. Koga M, Gilbert M, Li J, et al. Antecedent infections in Fisher syndrome: a common pathogenesis of molecular mimicry. Neurology 2005; 64:1605-1611. 2. Mori M, Kuwabara S, Fukutake T, et al. Clinical features and prognosis of Miller Fisher syndrome. Neurology 2001; 56:1104-1106. 3. Mori M, Kuwabara S, Fukutake T, et al. Intravenous immunoglobulin therapy for Miller Fisher syndrome. Neurology 2007; 68:1144-1146. 4. Nishimoto Y, Odaka M, Hirata Y, Yuki N. Usefulness of anti-GQlb IgG antibody testing in Fisher syndrome compared with cerebrospinal fluid examination. J Immunol 2004; 148:200-205. 5. Overell JR, Willison HJ. Recent developments in Miller Fisher syndrome and related disorders. Curr Opin Neurol 2005; 18:562-566. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
40th Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2008 |
| 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 2002. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6cv4mh7 |
| Setname |
ehsl_novel_fbw |
| ID |
178195 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6cv4mh7 |
