An Adolescent with Bilateral Visual Loss

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Identifier walsh_1988_s1_c1
Title An Adolescent with Bilateral Visual Loss
Creator Warren L. Felton III, MD; Robert T. Leshner, MD; Nitya R. Ghatak, MD; Anne C. Price, MD
Affiliation (WLF) (RTL) (NRG) (ACP) Medical College of Virginia, Richmond, VA
Subject Encephalomyelitis, Acute Disseminated; Central Nervous System; Hemianopsia
History A 15-year old male with headache and binocular loss of vision over a 2-week period. Symptoms preceded by flu-like syndrome of fever, chills, nausea, vomiting, diarrhea, cervical adenopathy and orthostatic light-headedness.
Pathology Demyelination with reactive astrocytes, macrophage infiltration, oligodendroglial proliferation, and remyelination.
Disease/Diagnosis Acute disseminated encephalomyelitis
Clinical VA: Hand motion OU; Absent color vision; Highly-constricted visual fields
Presenting Symptom Headache; Progressive binocular visual loss; Absent color vision
Treatment Steroids
Date 1988
References 1. Atlas SW, Grossman RI, Goldberg HI, Hockney DB, Bilaniuk LT, Zimmerman RA. MR diagnosis of acute disseminated encephalomyelitis. Journal of Computed Assisted Tomography. 10 (5): 798-801, 1986. 2. Dunn V, Bale BF, Zimmerman RA, Perdue Z, Bell WE. MRI in children with post-infectious disseminated encephalomyelitis. Magnetic Resonance Imaging. 4 (1): 25-32, 1986. 3. Herndon RM, Rudick RA. Multiple Sclerosis and related conditions, in Clinical Neurology. Baker AB and Joynt RJ (eds) Vol 3 (33) Hagerstown, MD, Harper and Row, 1987, 46-61. 4. Johnson Rt, Griffen DE, Gendelman HE. Postinfectious encephalomyelitis. Seminars in Neurology. 5: 180-184, 1985. 5. Ludwin SK. Central nervous system demyelination and remyelination in the mouse. An ultrastructural study of cuprizone therapy. Laboratory Investigation. 39 (6): 597-612, 1978. 6. Lukes SA, Norman D. Computed tomography in acute disseminated encephalomyelitis. Annals of Neurology. 13: 567-572, 1983. 7. Murphy J. Spontaneous infection or vaccination as the cause of acute disseminated encephalomyelitis. Neuroepidemiology. 4 (3): 138-145, 1985. 8. Pasternak JR, DeVivo DC, Prensky AL. Steroid-responsive encephalomyelitis in childhood. Neurology 30: 481-486, 1980. 9. Raine CS, Scheinberg L, Waltz JM. Multiple sclerosis. Oligodengliocyte survival and proliferation in an active established lesion. Laboratory Investigation. 45 (6): 534-546, 1981. 10. Sriram S and Steinman L. Postinfectious and postvaccinia! Neurology Clinics. 2 (2): 341-353, 1984.
Language eng
Format application/pdf
Type Text
Relation is Part of 1988 Walsh Session
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 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6pr7zqz
Setname ehsl_novel_fbw
ID 178092
Reference URL https://collections.lib.utah.edu/ark:/87278/s6pr7zqz
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