| Identifier |
walsh_2013_s3_c1-1 |
| Title |
Sacramentum Gladiatorium |
| Creator |
Michael S. Vaphiades, MD, University of Alabama, Jennifer Doyle |
| Subject |
Optic Nerve; Headaches; Giant Cell Arteritis; Magnetic Resonance Imaging; Sphenoid Sinusitis |
| History |
Medical history includes hypertension and hyperlipidemia. |
| Pathology |
Culture showed abundant methicillin resistant staphylococcus aureus. |
| Disease/Diagnosis |
Sphenoid sinus mucocele induced optic neuropathy (methicillin resistant staphylococcus aureus) |
| Clinical |
Visual acuity is 20/30 OD and no light perception OS. Color vision is 4 of 8 OD and 0 of 8 plates OS. Confrontational fields are full in the right and nonplottable OS. Pupils measure 7mm in each eye with 2+reactivity in the right and no reactivity in the left with greater than 1.2 Log RAPD OD. She has decreased temporal artery upstroke bilaterally. |
| Presenting Symptom |
An 84-year-old woman who noted a headache for 2 weeks and a one day history visual loss OS. |
| Neuroimaging |
MRI |
| Treatment |
Clindamycin; Sulfamethoxazole/Trimethoprim |
| Date |
2013-02 |
| References |
1. VaphiadesMS, Yunker JJ, Roberson GH, Meyer DR, Mills DM. Optic neuritis is nothing to sneeze at. Surv Ophthalmol. 2007;52:106-110. 2. VaphiadesMS, Roberson GH. Sphenoid sinusmucocele presenting as a third cranial nerve palsy. J Neuroophthalmol. 2005;25:293-294. 3. VaphiadesM, Golnik KC. Optic neuropathy from bacteria. Int Ophthalmol Clin. 2007 ;47:25-36. 4. Lee AG, Lin DJ, Kaufman M, Golnik KC, Vaphiades MS, Eggenberger E. Atypical features prompting neuroimaging in acute optic neuropathy in adults. Can J Ophthalmol. 2000;35:325-330. |
| 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 84112-6341 |
| Rights Management |
Copyright 2013. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6j130s8 |
| Setname |
ehsl_novel_fbw |
| ID |
179147 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6j130s8 |
