| Identifier |
walsh_2006_s4_c1 |
| Title |
Vertical Gaze Palsy and Fever in a 53 Year-Old, HIV-Positive Man |
| Creator |
Nicholas J. Volpe, MD, Northwestern University |
| Subject |
Nocardia Infections; Brain Stem Infarctions; Acquired Immunodeficiency Syndrome; HIV Infections; Horner Syndrome; Ocular Motility Disorders; Diplopia; Oculomotor Nerve Diseases |
| History |
A 53-year old male with a 2-day history of vertical, binocular diplopia accompanied by worsening headache, slurred speech, unsteady gait and right face, arm and leg numbness the week previous. Previous history significant for HIV infection, hepatitis B and C and Hodgkin's lymphoma. |
| Pathology |
Vasogenic edema |
| Disease/Diagnosis |
Nocardia brainstem abscess |
| Clinical |
VA: 20/25 OU |
| Presenting Symptom |
Diplopia; Headache; Right-sided arm, leg and facial numbness |
| Neuroimaging |
CT; MRI |
| Treatment |
IV steroids |
| Date |
2006 |
| References |
1: Fihman V, Bercot B, Mateo J, Losser MR, Raskine L, Riahi J, Loirat P, Pors MJ. First successful treatment of Nocardia farcinica brain abscess with moxifloxacin. J Infect. 2005 Sep 20; [Epub ahead of print] 2: Sichizya K, Fieggen G, Taylor A, Peter J. Brain abscesses--the Groote Schuur experience, 1993-2003. S Afr J Surg. 2005 Aug;43(3):79-82. 3: Barnaud G, Deschamps C, Manceron V, Mortier E, Laurent F, Bert F, Boiron P, Vinceneux P, Branger C. Brain abscess caused by Nocardia cyriacige- orgica in a patient with human immunodeficiency virus infection. J Clin Microbiol. 2005 Sep;43(9):4895-7. 4: Valarezo J, Cohen JE, Valarezo L, Spektor S, Shoshan Y, Rosenthal G, Umansky F. Nocardial cerebral abscess: report of three cases and review of the current neurosurgical management. Neurol Res. 2003 Jan;25(1):27-30. 5: Bertoldi RV, Sperling MR. Nocardia brain stem abscess: diagnosis and response to medical therapy. Bull Clin Neurosci. 1984;49:99-104. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
32nd Annual North American Neuro-Ophthalmology Society Meeting, 2006 Frank B. Walsh Session |
| Relation is Part of |
Session 4, Case 1, Walsh Session, NANOS 2006 |
| 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 84112-6744 |
| Rights Management |
Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s6tq6495 |
| Setname |
ehsl_novel_fbw |
| ID |
178060 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6tq6495 |
