| Identifier |
walsh_2018_s2_c1 |
| Title |
One Peak is Worth Twenty Finesses - Video |
| 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 |
| Presenting Symptom |
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. |
| Date |
2018-03 |
| 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 |
video/mp4 |
| Type |
Image/MovingImage |
| 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/s60907t8 |
| Setname |
ehsl_novel_fbw |
| ID |
1320227 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s60907t8 |
