| Identifier |
walsh_2016_s1_c4 |
| Title |
Not a Meatball - Abstract |
| Creator |
Steven A. Newman, MD, University of Virginia School of Medicine, James Mandell, Colleen Druzgal, John Jane Jr., Spencer Payne, Sugoto Mukherjee, Beatriz Lopes |
| Subject |
Diplopia; Skull Base; Osteolytic Lesion; Monoclonal Antibody Therapy; Endoscopic Biopsy |
| History |
In April 2015, a 10 year old girl was referred for a four day history of ptosis and double vision. On examination, visual acuity was 20/20-OU; near vision was 3pt OU. Visual fields showed subtle arcuate visual field changes. External examination revealed palpebral fissures of 6.5 and 9 with an upper lid range of 12 and 11. MRD was -1 and 4. Facial sensation was intact. Hertel with a base of 94 was 11.5 and 10. Pupils were 7.5 and 3.5. Motility revealed limitation in elevation and adduction on the right. Maddox rod demonstrated an exodeviation increasing on left gaze with a left hyper increasing on up gaze. Funduscopic examination revealed a view of 20/20 bilaterally with a cup-to-disc ratio of 0.1 and 0.2 with minimal hyperopic astigmatism. Imaging studies revealed a reason for her cranial nerve III palsy. A procedure was carried out. |
| Disease/Diagnosis |
Recurrent giant cell grauloma of the sphenoid sinus and clivus |
| Date |
2016-02 |
| References |
1. Ciapetta P, Salvati M, Bernardi C, Raco A, Di Lorenzo N. Giant cell reparative granuloma of the skull base mimicking an intracranial tumor. Case report and review of the literature. Surgical Neurology 1990; 33: 52-6. 2. De Lange J, Rosenberg AF, Vad Den Akker HP, Koole R, Wirds JJ, van den Berg H. Treatment of central giant cell granuloma of the jaw with calcitonin Int J. Maxillofac Surg 1999; 28: 372-6 3. Elder JB, Berry C, Gonzalez-Gomez I, Kreger MD, McComb JG. Giant cell tumor of the skull in pediatric patients. Report of two cases. J Neursurg 2007; 107: 69-74 4. Gupta B, Stanton N, Coileman H, White C, Singh J. A novel approach to the management of central giant cell granuloma with denosumab: A case report and review of current treatments. Journal of Cranio-Maxillo-Facial Surgery 2015 . 43; 1127-32 5. Naidu A, Malmquist MP, Denham CA, Schow SR. Management of central giant cell giant cell granuloma with subcutaneous denosumab therapy. Journal of Oral and Maxillofacial Surgery 2014; 73: 2469-84 |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
48th Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2016 |
| 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 84112-6198 |
| Rights Management |
Copyright 2016. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6pp239n |
| Setname |
ehsl_novel_fbw |
| ID |
179347 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6pp239n |
