| Identifier |
walsh_2013_s2_c5-1 |
| Title |
A Difficult Bug to Swallow |
| Creator |
Kenneth Lao, Blake A. Isernhagen, R. Michael Siatkowski |
| Subject |
Orbital Apex; Metastatic Disease; Ophthalmoplegia |
| History |
Non-insulin dependent diabetes mellitus, hypertension, and a right ventricular thrombus. |
| Disease/Diagnosis |
Esophageal Adenocarcinoma with metastasis to the left orbital apex |
| Clinical |
Visual acuities of 20/25 in his right eye and no light perception in his left eye. Pupil exam revealed a 3mm pupil on the right that reacted briskly to light and accommodation without an afferent pupillary defect. The left pupil was 5mm and did not react to light or accommodation and had an afferent pupillary defect. Posterior extent of the left optic nerve showed evidence of infiltration by the lesion with coinciding edema. |
| Presenting Symptom |
A 54 year-old white male presented to the emergency room with a one month history of progressive binocular diplopia and a one week history of painless loss of vision in his left eye. |
| Neuroimaging |
CT Scan; PET Scan |
| Date |
2013-02 |
| References |
1. Yeh S and Foroozan R. Orbital Apex Syndrome, Curr Opin Opthalmology 15:490-498, 2004. 2. Bone I and Hadley D M. Syndromes of The Orbital Fissure, Cavernous Sinus, Cerebello-pontine Angle, and Skull Base, J Neurol Neurosurg Psychiatry 2005;76 (Suppl III): iii29-iii38, 2005. 3. Agrawal R, Shukla P, Shukla V, Chauhan A. Brain Metastasis From Esophageal Carcinoma, Journal of Cancer Research and Therapeutics 2009, Volume 5, Issue 2, page 137-139. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
45th Annual Frank Walsh Society Meeting |
| Relation is Part of |
Case presented at the NANOS 2013 Walsh Session, February 10 |
| Collection |
Neuro-Ophthalmology Virtual Education Library - Walsh Session Annual Meeting Archives https://novel.utah.edu/Walsh/index3.html |
| Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-6324 |
| Rights Management |
Copyright 2013. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6x37v38 |
| Setname |
ehsl_novel_fbw |
| ID |
179175 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6x37v38 |
