It Must Be Voodoo... and he was Far from Spineless (abstract)

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Identifier walsh_2017_s2_c4-abstract
Title It Must Be Voodoo... and he was Far from Spineless (abstract)
Creator Norah Sydney Lincoff; Charles Chung; Lucia Balos
Affiliation (NSL) Jacobs School of Medicine and Biomedical Sciences, SUNY at Buffalo, Buffalo, New York; (CC) Jacobs School of Medicine, Department of Radiology, SUNY at Buffalo, Buffalo, New York; (LB) Jacobs School of Medicine, Department of Pathology, SUNY at Buffalo, Buffalo, New York
Subject Optic neuritis, Optic Neuropathy, Hearing Loss, Sarcoidosis
History A 35 yo legally blind gentleman was referred for evaluation because of neck and new lower back pain. His visual; loss began 4 years prior, following a trip to 'N'Orleans'. He had been on a 'Boys Trip' for 10 days, and had been cursed with Voodoo for not paying a cemetery tour guide as promised.
Disease/Diagnosis Late involvement of the axial skeleton and pelvis with CNS sarcoid. Sarcoidosis of the axial skeleton is uncommon, but when it does occur, it fortunately can have this classic picture radiologically. CNS involvement is also rare (<16% of cases) and bilateral blinding optic neuropathy even less common (<5%). After the thorax, the skin and uvea of the eye are the most commonly affected, followed by the liver and heart. Only 10-30% of cases will have a chronic progressive pattern of disease. Gold standard for diagnosis is of course histological by biopsy.
Date 2017-04
References 1. Frohman LP, Guirgis M, Turbin RE, Bielory L: Sarcoidosis of the anterior visual pathway; 24 new cases. J Neuroophthalmol. 23:190-7, 2003. 2. Galetta S, Shatz NJ, Glaser JS: Acute sarcoid optic neuropathy with spontaneous recovery. J Clin Neuroophthalmol. 9:27-32,1989. 3. Koczman J, Rouleau J, Gaunt M, Kardon R, Wall M: Neuro-ophthalmic sarcoidosis: the University of Iowa experience. Semin Ophthalmol. 23:157-68, 2008. 4. Phillips Y, Eggenberger E: Neuro-ophthalmic sarcoidosis. Curr Opin Ophthalmol. 21:423-9, 2010. 5. Stern B, Krumholz A, Johns C, Scott P, Nissim J: Sarcoidosis and its neurological manifestations. Arch Neurol. 42:909-17, 1985 6. Lesser R, Dadparvar S, Weiss A, Silverstein G, DeHoratius R. Aggressive lesion in osseous sarcoidosis. J Rheumatol. 15:510-2, 1988. 7. Mangino D, Stover D. Sarcoidosis presenting as metastatic bony disease. A case report and review of the literature on vertebral body sarcoidosis. Respiration. 71:292-4, 2004.
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/s6zw5fk2
Setname ehsl_novel_fbw
ID 1277698
Reference URL https://collections.lib.utah.edu/ark:/87278/s6zw5fk2
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