| Identifier | walsh_2007_s4_c5 |
| Title | Horrible Hallucinations (Presentation Video) |
| Creator | Melissa W. Ko, MD; Steven Galetta, MD; Jennifer Baccon, MD; Jeffrey Baliff, MD; Lauren Sansing, MD; Erdem Tuzun, MD; Josep Dalmau, MD |
| Affiliation | Philadelphia, PA |
| Subject | Amino Acids, Peptides, and Proteins; N-Methylaspartate; Receptors, N-Methyl-D-Aspartate; Polycystic Ovary Syndrome; Paraneoplastic Syndromes, Nervous System; Hallucinations; Teratoma |
| History | A 34-year old female with a history of irritable bowel and polycystic ovarian syndrome. |
| Pathology | Left adnexal ovarian mass with calcification; Hippocampal degeneration |
| Disease/Diagnosis | Teratoma-associated encephalitis with antibodies to NMDA receptors |
| Clinical | Episodes of paroxysmal facial grimacing, bilateral limb shaking, and abdominal contractions. |
| Presenting Symptom | Headache; Seizure; Febrile; Hallucinations |
| Neuroimaging | CT; MRI |
| Treatment | Antipsychotic agents; Nootropic agents; Plasmaphoresis; Corticosteroids; Immunosupressive agents; Surgery |
| Date | 2007-02 |
| References | 1. Gultekin SH, Rosenfeld MR, Voltz R, et al. Paraneoplastic limbic Encephalitis: neurological symptoms, immunological findings and tumor association in 50 patients. Brain 2000; 123:1481-1494. 2. Vitaliani R, Mason W, Ances B et al. Paraneoplastic encephalitis, psychiatric symptoms, and hypoventilation in ovarian teratoma. Ann Neurol 2005; 58: 594-604. 3. Dalmau J, Tuzun E, Masjuan J, et al. Teratoma-associated Encephalitis with Antibodies to NMDA receptors. Ann Neurol (submitted). 4. Taylor RB, Mason W, Kong K. et al. Reversible paraneoplastic encephalomyelitis: associated with a benign ovarian teratoma. Can J Neurol Sci 1999; 26: 317-320. 5. Stein-Wexler R, Wootton-Gorges SL, Greco CM, Brunberg JA.Paraneoplastic limbic encephalitis in a teenage girl with an immature ovarian teratoma. Pediatr Radiol; 35: 694-697. |
| Language | eng |
| Format | video/mp4 |
| Type | Image/MovingImage |
| Source | 39th Annual Frank Walsh Society Meeting |
| Relation is Part of | NANOS Annual Meeting 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/s6rb77c8 |
| Setname | ehsl_novel_fbw |
| ID | 178347 |
| Reference URL | https://collections.lib.utah.edu/ark:/87278/s6rb77c8 |