Identifier |
walsh_2012_s4_c1 |
Title |
The Costs of Containment |
Creator |
Jeffrey Gelfand; Charles Thirkill; John Keltner; Ari Green |
Affiliation |
(JG) (AG) UCSF, San Francisco, CA; (CT) (JK) UC Davis, Davis, CA |
Subject |
Optic Nerve Diseases; Paraneoplastic Syndromes, Ocular; Adenocarcinoma; Scotoma; Neoplasm Metastasis |
History |
A 68-year old male with 1-1/2 year history of painless blurred vision OU. Previous history significant for subacute paraparesis from spinal meningitis (subsequently resolved), ischemic optic neuropathy with residual central loss of vision OS. Remote history of a 78 pack-year of smoking. |
Pathology |
Metastatic poorly-differentiated adenocarcinoma |
Disease/Diagnosis |
Paraneoplastic optic neuropathy associated with adenocarcinoma of the lung/mediastinum |
Clinical |
VA: Best-corrected, 20/40 OD, 20/200 OS; Reduced low-contrast and color vision the left > right; Optic nerve atrophy OS worse than OD; Central scotoma |
Presenting Symptom |
Blurred vision OU |
Neuroimaging |
MRI; PET/CT |
Treatment |
Gamma knife surgery; Antineoplastic agents; IV neuroprotective agents; IVIG |
Date |
2012-02 |
References |
Attached |
Language |
eng |
Format |
application/pdf |
Type |
Text |
Source |
44th Annual Frank Walsh Society Meeting |
Relation is Part of |
Case presented at the NANOS 2012 Walsh Session, February 12 |
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/s6jw8hrj |
Setname |
ehsl_novel_fbw |
ID |
179107 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6jw8hrj |