| Identifier |
walsh_2022_s2_c2 |
| Title |
All in the Family |
| Creator |
Homer Chiang; Shannon Beres |
| Affiliation |
(HC) (SB) Byers Eye Institute at Stanford, Palo Alto, California |
| Subject |
6th nerve palsy, hemophagocytic lymphohistiocytosis, chemotherapy |
| History |
A previously healthy 2-year-old male presented to neuro-ophthalmology clinic for a head turn that started 1.5 months ago; and his left eye began turning in over the last 2 weeks. He had no recent infections, vaccinations, or illnesses. With the birth; of his new baby sister 6 weeks prior the family said they attributed the head turn to a new behavior from stress of a new; sibling. He had no headache or weakness noticed in the face or extremities and no drooling or dysphagia. He had a large; head that was consistently tracking on his own growth curve and followed closely by his pediatrician, who was his paternal; grandfather. Family history was notable for a maternal grandfather with multiple sclerosis and mother with history of optic; neuritis 10 years ago without recurrence. His maternal great grandmother had strabismus and his paternal great uncle had; strabismus requiring surgery. There is otherwise no family history of developmental delay, seizures or other neurologic; disorders. The exam showed a left abduction deficit with an esotropia of 55 prism diopters in primary gaze, 25 prism; diopters in right gaze, and increasing to >55 in left gaze. The anterior segments of both eyes were normal. There was very; subtle blurring of the optic disc margin in the left eye on quick view due to cooperation and the left optic nerve could not; be viewed due to the large esotropia. An urgent brain MRI with and without contrast was ordered and he was instructed to; begin patching the right eye due to amblyopia risk. |
| Disease/Diagnosis |
Familial hemophagocytic lymphohistiocytosis Type 2 |
| Date |
2022-02 |
| References |
None |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
54th Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2022 |
| 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 2022. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6s0pnfx |
| Setname |
ehsl_novel_fbw |
| ID |
2100235 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6s0pnfx |
