| Identifier | walsh_2002_s4_c1 |
| Title | A Man with the Worst Smelling Cologne |
| Creator | Norah Sydney Lincoff, MD; Lucia Balos, MD |
| Affiliation | (NSL) (LB) Buffalo, NY |
| Subject | Vision, Low; Scotoma; Toluene; Inhalant Abuse; Metabolic Diseases |
| History | A 28-year old male with decreasing vision and photophobia, a 5-month history of numbness and weakness from the neck down and concomitant uncoordinated movement. Previous history significant for recurrent kidney calculi, heart murmur, meningitis and migraine. |
| Pathology | Gliosis and myelin pallor |
| Disease/Diagnosis | Neurologic sequelae from chronic toluene intoxication |
| Clinical | VA: 20/40 OU declining to counting fingers OD, 20/400 OS |
| Presenting Symptom | Declining vision with photophobia; Numbness and weakness of extremities |
| Neuroimaging | MRI |
| Treatment | Tx for presumed MS: Interferon-beta; IV neuroprotective agents |
| Date | 2002 |
| References | 1. Ehyai A, Freemon FR (1983) Progressive optic neuropathy and sensorineural hearing loss due to chronic glue sniffing. J Neuro Neurosurg Psychiatry 46:349-351. 2. Ashikaga R, Araki Y (1995) Cranial MRI in chronic thinner intoxication. Neuroradiology 37:443-444. 3. Lazar RB, Ho SU (1983) Multifocal central nervous system damage caused by toluene abuse. Neurology 33:1337-1340. 4. Escobar A, Aruffo C (1980) Chronic thinner intoxication: clinico-pathologic report of a human case. J Neuro Neurosurg Psychiatry 43: 986-99. |
| Language | eng |
| Format | application/pdf |
| Type | Text |
| Source | 28th Annual North American Neuro-Ophthalmology Society Meeting, Frank B. Walsh Session CD-ROM |
| Relation is Part of | NANOS Annual Meeting 2002 |
| 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/s6251mxs |
| Setname | ehsl_novel_fbw |
| ID | 177679 |
| Reference URL | https://collections.lib.utah.edu/ark:/87278/s6251mxs |