| Identifier |
walsh_2017_s2_c2-abstract |
| Title |
Alcohol is Never the Answer, but it Does Make You Forget the Question (abstract) |
| Creator |
Ali Saber Tehrani; Diana Londono; Thomas Rashid; Manuel Doria; Julia Biernot; Jorge Kattah |
| Affiliation |
(AST) University of Illinois, Peoria, Illinois; (DL) (JB) (JK) Department of Neurology, University of Illinois College of Medicine in Peoria, Peoria, Illinois; (TR) University of Illinois College of Medicine in Peoria, Peoria, Illinois; (MD) Department of Pathology, University of Illinois College of Medicine in Peoria, Peoria, Illinois |
| Subject |
Autoimmune diseases, Nystagmus, 7th Nerve palsy, Paraneoplastic syndromes, Internuclear ophthalmoplegia |
| History |
A 63-year old male with a history of alcohol abuse presented with two weeks of confusion and imbalance. On exam, he had left beating nystagmus on left gaze, and right beating and torsional nystagmus on right gaze. Head impulse test was abnormal in all canals bilaterally with video head impulse test showing left horizontal vestibuloocular reflex gain: 0.3, right: 0.4. |
| Disease/Diagnosis |
A pelvic CT scan showed adenopathy in the right pelvis, suspicious for metastatic disease. An MRI pelvis demonstrated stage T3b N1 M0 prostate carcinoma on the right, with possible involvement of the seminal vesicle. Pathologic analysis of biopsy results from the radical prostatectomy and lymph node dissection revealed mixed neuroendocrine carcinoma (75%) and adenocarcinoma (25%). The patient underwent chemotherapy with Etoposide and Cisplatin. T2 MRI signal changes improved transiently. Repeated anti-Hu level was negative three weeks after surgery. The patient did not improve neurologically, and unfortunately passed away about four months after presentation. Final diagnosis: Anti-Hu paraneoplastic process associated with neuro-endocrine tumor of the prostate. |
| Date |
2017-04 |
| References |
None. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
49th Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2017 |
| 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 2017. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6rc1083 |
| Setname |
ehsl_novel_fbw |
| ID |
1277692 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6rc1083 |
