Thickened and Swollen

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Identifier walsh_2012_s1_c4
Title Thickened and Swollen
Creator Simon Hickman; Irene Pepper; Ruth Batty; Ptolemaios Sarrigiannis; Stephen Wharton; Christopher McDermott
Affiliation Royal Hallamshire Hospital, Sheffield, South Yorkshire, UK
Subject Papilledema; Polyradiculoneuropathy, Chronic Inflammatory Demyelinating; Xerophthalmia
History A 46-year old female with ocular irritation and dry eyes. Previous history significant for sensory peripheral neuropathy.
Pathology Myelinated axons widely dispersed by expansile lesion containing spindle cells and inflammatory infiltrate.
Disease/Diagnosis Papilloedema secondary to CIDP
Clinical VA: 6/6 OD, 6/9 OS
Presenting Symptom Ocular irritation and dry eyes; Papilledema
Neuroimaging MRI
Treatment Immunosuppressive agents; Carbonic anhydrase inhibitors; Optic nerve sheath fenestration
Date 2012-02
References 1. Alwan, Mejico. Ophthalmoplegia, proptosis, and lid retraction caused by cranial nerve hypertrophy in chronic inflammatory demyelinating polyradiculoneuropathy. J Neuro- Ophthalmol, 27, 99-103, 2007. 2. Pytel, Rezania, Soliven, Frank, Wollmann. Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) with hypertrophic spinal radiculopathy mimicking neurofibromatosis. Acta Neuropathol, 105, 185-188, 2003. 3. Morley, Reynolds. Papilloedema and the Landry-Guillain-Barré syndrome. Brain, 89, 205- 222, 1966. 4. McCombe, Pollard, McLeod. Chronic inflammatory demyelinating polyradiculoneuropathy. A clinical and electrophysiological study of 92 cases. Brain, 110, 1617-1630, 1987. 5. Dispenzieri, Kyle, Lacy, Rajkumar, Therneau, Larson, Greipp, Witzig, Basu, Suarez, Fonseca, Lust, Gertz. POEMS syndrome: Definitions and long-term outcome. Blood, 101, 2496-2506, 2003.
Language eng
Format application/pdf
Type Text
Source 44th Annual Frank Walsh Society Meeting
Relation is Part of NANOS Annual Meeting Frank B. Walsh Sessions; 2012
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 2012. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s69c7196
Setname ehsl_novel_fbw
ID 179109
Reference URL https://collections.lib.utah.edu/ark:/87278/s69c7196
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