| Identifier |
walsh_1990_s3_c3 |
| Title |
A Patient with Retro-orbital Pain and Diplopia |
| Creator |
Warren L. Felton III, MD; Nitya R. Ghatak, MD; Lyn Nadel, MD |
| Affiliation |
(WLF) (NRG) (LN) Medical College of Virginia, Richmond, VA |
| Subject |
Horner Syndrome; Abducens Nerve Diseases; Central Nervous System Diseases; Sarcoidosis; Anisocoria |
| History |
A 31-year old female with a 2-week history of severe, unrelenting left retro-orbital pain associated with diplopia. |
| Pathology |
Nonnecrotizing granulomatous inflammation of the left temporal dura composed of epithelioid and multinucleated giant cells. |
| Disease/Diagnosis |
Primary central nervous system sarcoidosis; painful cavernous sinus syndrome manifesting sixth cranial nerve palsy and ipilateral postganglionic Horner's Syndrome |
| Presenting Symptom |
Left retro-orbital pain; Diplopia |
| Treatment |
Surgery |
| Date |
1990 |
| References |
1. Abad JM, Alvarez F, Blazques MG; An unrecognized neurological syndrome: Sixth nerve palsy and Horner's syndrome due to traumatic intracavernous aneurysm. Surg Neurol 16:140-144. 1981. 2. Cohen DM, Reinhardt RA: Systemic sarcoidosis presenting with Horner's syndrome and mandibular paresthesia. Oral Surg 53, 577-581, 1982. 3. Hayes WS, Sherman JL, Stern BJ, et al: MRI and CT evaluation of intracranial sarcoidosis. Am J Neurorad 8:841-847, 1987. 4. Heck Al, Phillips LH: Sarcoidosis and the nervous system. In Riggs, JE (ed.) Neurologic Clinics, Neurologic Manifestations of Systemic Disease. W.B. Saunders CO, Philadelphia 7 (3): 629-654, 1989. 5. Johnston JA, Parkinson D: Intracranial sympathetic pathways associated with the six cranial nerve. J Neurosurg 39: 236243, 1974. 6. Miller NR: Walsh and Hoyt's Clinical Neuro-Ophthalmology, 4th ed, Vol 2, 703. William and Wilkins, Baltimore, 1985. 7. Monro A: The Anatomy of the Human Bones and Nerves, 3 63. Hamilton & Balfour, Edinburgh, 1746. 8. Spector RH, Fiandaca MS: The 'sinister' Tolosa-Hunt syndrome. Neurology 36: 198-203, 1986. 9. Stern BJ, Krumholz A, Johns C, et al: Sarcoidosis and its neurological manifestations. Arch Neurol 42: 909-917, 1985. 10. Turner RG, James DG, Friedmann Al, Vigendram M: Neuro-ophthalmic sarcoidosis. Brit J Ophthal 59:657-663, 1975. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
1990 Walsh Proceedings |
| Relation is Part of |
Frank B. Walsh Society Meeting 1990 |
| 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/s6vt1vxc |
| Setname |
ehsl_novel_fbw |
| ID |
178795 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6vt1vxc |
