| Identifier |
walsh_2007_s1_c2 |
| Title |
Rectifying the Apposite Diagnosis |
| Creator |
Beau Bruce, MD; Mahtab Tehrani, MD; Mark Melson, MD; Nancy Newman, MD; Valerie Biousse, MD |
| Affiliation |
Atlanta, GA |
| Subject |
Meningeal Carcinomatosis; Rectal Neoplasms; Pupil Disorders; Papilledema; Exotropia; Neoplasm Metastasis |
| History |
A 65-year old male with a 6 week history of progressive balance difficulties, bilateral hearing loss and loss of vision OD. Previous history significant for hypertension and rectal cancer Tx surgery, antineoplastic agents and XRT. |
| Pathology |
Cerebellopontine mass lesion showing signet ring adenocarcinoma. |
| Disease/Diagnosis |
Metastatic spread of colorectal carcinoma to the meninges |
| Clinical |
VA: HM OD, 20/25 OS; RAPD OD |
| Presenting Symptom |
Progressive balance difficulties; Bilateral hearing loss; Loss of vision OD |
| Neuroimaging |
MRI |
| Treatment |
Steroids |
| Date |
2007-02 |
| References |
1. Hayreh SS, Podhajsky P, Zimmerman MB. Ocular and optic nerve head ischemic disorders and hearing loss. Am J Ophthalmol 1999;128:606-611. 2. Kramer MR, Nesher G, Sonnenblick M. Steroid-responsive hearing loss in temporal arteritis. J Laryngol Otol. 1988;102:524-5. 3. Wolfovitz E, Levy Y, Brook JG. Sudden deafness in a patient with temporal arteritis. J Rheumatol. 1987;14:384-5. 4. Jayson GC, Howell A. Carcinomatous meningitis in solid tumors. Ann Oncol 1996; 7:773-786. 5. Giglio P, Weinberg JS, Forman AD, Wolff R, Groves MD. Neoplastic meningitis in patients with adenocarcinoma of the gastrointestinal tract. Cancer 2005;103:2355-62. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
39th Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting Frank B. Walsh Sessions; 2007 |
| 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 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s62z189h |
| Setname |
ehsl_novel_fbw |
| ID |
178298 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s62z189h |
