| Identifier |
walsh_2013_s2_c3-1 |
| Title |
It's All in Your Head |
| Creator |
William L. Hills; Marjorie R. Grafe; Jane Weissman; Julie Falardeau; Michele K. Mass; William T. Shults |
| Affiliation |
(WLH) (JF) Oregon Health & Science University/Casey Eye Institute, Portland, OR; (WLH) (MKM) Oregon Health & Science University/Neurology, Portland, OR; (MRG) Oregon Health & Science University/Pathology, Portland, OR; (JW) Oregon Health & Science University/Radiology, Portland, OR; (WTS) Legacy Good Samaritan Hospital/Dever's Eye Institute, Portland, OR |
| Subject |
Erdheim-Chester Disease; Histiocytosis; Non-Langerhans Cell; Intracranial; Visual Fields; Migraine Visual Aura |
| History |
Migraine headache with visual aura since age 27 and upper airway resistance syndrome. |
| Pathology |
Pathology was consistent with Erdheim-Chester disease (ECD). |
| Disease/Diagnosis |
Isolated intracranial Erdheim-Chester disease presenting as an atypical migraine visual aura without headache |
| Clinical |
Brain MRI revealed revealed multiple intra- and extra-axial enhancing masses including brain parenchyma, pituitary infundibulum and corpus callosum; Visual Acuity 20/20 right eye, 20/30 left eye; Color vision 10/10 right, 7/10 left without RAPD |
| Presenting Symptom |
A 45-year-old woman with a history of migraine headaches with visual aura presented after an atypical visual aura of 3 days duration without headache. |
| Neuroimaging |
CT Scan; MRI; Flow Cytometry |
| Treatment |
High dose interferon alpha, steroids, biphosphonates, and cytotoxic agents. |
| Date |
2013-02 |
| References |
1. Haroche J, Arnaud L, Amoura Z. Erdheim-Chester disease. Curr Opin Rheumatol, 24, 53-59, 2012. 2. Conley A, Manjila S, Guan H, et al. Non-Langerhans cell histiocytosis with isolated CNS involvement: An unusual variant of Erdheim-Chester disease. Neuropathology, 30, 634-637, 2010. 3. Sedrack P, Ketonen L, Hou P, et al. Erdheim-Chester Disease of the Central Nervous System: New Manifestations of a Rare Disease. Am J Neuroradiol, 32, 2126-31, 2011. 4. Hervier B, Arnaud L, Charlotte F, et al. Treatment of Erdheim-Chester Disease with Long-Term High Dose Interferon-alpha. Semin Arthritis Rheum, Jun, 41(6), 907-13, 2012. 5. Rushing EJ, Bouffard JP, Neal CJ, et al. Erdheim-Chester Disease mimicking a primary brain tumor: Case report. J Neurosurg, 100, 1115-1118, 2004. |
| 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 84112-6359 |
| Rights Management |
Copyright 2013. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s67h4g4z |
| Setname |
ehsl_novel_fbw |
| ID |
179157 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s67h4g4z |
