| Identifier |
walsh_2013_s2_c2-1 |
| Title |
Deaf and Dizzy. Have We Been Susacked? |
| Creator |
Jorge C. Kattah; John H. Pula; Paayal K. Patel; Meena Gujrati; David E. Newman-Toker |
| Affiliation |
(JCK) (JHP) (PKP) (MG) UICOMP, Peoria, IL; (DEN) JHU Baltimore, MD |
| Subject |
Intravascular Lymphoma; Cerebral Microangiopathy; Deafness; Acute Vestibular Syndrome; Encephalopathy |
| History |
Acute vestibular syndrome (AVS) with unsteadiness, nausea, vomiting and decreased hearing. He is diabetic, has arterial hypertension, and was taking losartan, metformin, clopidogrel, and atorvastatin but was not on ototoxic or vasodilators medications. Examination at presentation showed left axial lateropulsion, a right beat, horizontal, unidirectional nystagmus in primary, right and up gaze, and a positive left horizontal head impulse test (h-HIT). |
| Pathology |
Cerebral biopsy, which established the diagnosis of intravascular lymphoma. |
| Disease/Diagnosis |
Intravascular Lymphomatosis; Anterior Ischemic Optic Neuropathy |
| Clinical |
The h-HIT device measured 0.49 (abnormal) left and 0.89 (normal) right gains Overt, corrective saccades were observed with horizontal left head accelerations; without skew deviation. Eye examination showed normal visual acuity, color vision and visual fields by confrontation, right optic nerve surface drusen, a normal left optic nerve, bilaterally normal macula, peripheral retina and branch retinal arteries, normo-reactive pupils without APD, and normal biomicroscopy without uveitis. |
| Presenting Symptom |
A 60 year old man had an acute myelopathy in December 2010, with normal neuroimaging and spinal fluid (CSF). |
| Neuroimaging |
CT Scan; MRI |
| Treatment |
Rituximab; Methotrexate; CHOP |
| Date |
2013-02 |
| References |
1. Petty GW, et al Retinocerebral Vasculopathy. Medicine. 1998; 77: 12-40. 2. Nagayama M, et al Intravascular malignant lymphomatosis manifesting clinically as bilateral hearing loss and cytomegalovirus encephalitis. Neurology. 1994: 44: 1518-1520. 3. Berger JR, et al Intravascular lymphomatosis presenting with sudden hearing losJ Neurological Sciences 2005; 232:105-109. 4. Beristain X, et al. The Neurological Masquerade of Intravascular Lymphomatosis. Arch Neurol.2002; 59: 439-443. 5. Angioi K, et al Intravascular Lymphoma Mimicking a Vogt, Koyagani, Harada Syndrome.. Ocul Immul Inflam. 2011; 19:132-134. |
| Language |
eng |
| Format |
application/pdf |
| Format Creation |
Microsoft PowerPoint |
| Type |
Text |
| Source |
45th Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2013 |
| 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 2013. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6g18xds |
| Setname |
ehsl_novel_fbw |
| ID |
179163 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6g18xds |
