Alcohol is Never the Answer, but it Does Make You Forget the Question (slideshow)

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Identifier walsh_2017_s2_c2-slideshow
Title Alcohol is Never the Answer, but it Does Make You Forget the Question (slideshow)
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
Format Creation Microsoft PowerPoint
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/s6mm07kt
Setname ehsl_novel_fbw
ID 1277693
Reference URL https://collections.lib.utah.edu/ark:/87278/s6mm07kt
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