| Identifier |
walsh_2017_s2_c4-slideshow |
| Title |
It Must Be Voodoo... and he was Far from Spineless (slideshow) |
| Creator |
Norah S. Lincoff, MD, University at Buffalo, Charles Chung, Lucia Balos |
| 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 2017: Frank B. Walsh Session 2 |
| Collection |
Neuro-Ophthalmology Virtual Education Library - Walsh Session Annual Meeting Archives https://novel.utah.edu/Walsh/index3.html |
| Publisher |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-6121 |
| Rights Management |
Copyright 2017. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6v44pt6 |
| Setname |
ehsl_novel_fbw |
| ID |
1277699 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6v44pt6 |
