| Identifier |
walsh_2011_s2_c3 |
| Title |
To Biopsy Or Not To Biopsy? That Is the Question |
| Creator |
Michael Yoon; Timothy McCulley |
| Affiliation |
(MY) University of California - San Francisco, San Francisco, CA; (TM) Wiimer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD |
| Subject |
Papilledema; Demyelinating Diseases; Aphasia; Vertigo; Hemianopsia |
| History |
A 16-year old female with an 8-week history of intense vertigo, headache, poor naming, blurred vision and gait instability. |
| Pathology |
Dense infiltrate of macrophages associated with interspersed reactive hypertrophic astrocytes and extensive myelin loss. |
| Disease/Diagnosis |
Tumefactive demyelinating lesion |
| Clinical |
VA: 20/20 OU; Bilateral disc edema |
| Presenting Symptom |
Blurred vision; Vertigo; Headache; Aphasia |
| Neuroimaging |
MRI |
| Treatment |
IV Anti-inflammatory agents |
| Date |
2011-02 |
| References |
1. Dastgir J, DiMario FJ. Acute tumefactive demyelinating lesions in a pediatric patient with known diagnosis of multiple sclerosis: review of the literature and treatment proposal. J Child Neurol 2009;24(4):431-7. 2. Kiriyama T, Kataoka H, Taoka T, et al. Characteristic neuroimaging in patients with tumefactive demyelinating lesions exceeding 30 mm. J Neuroimaging 2010;XX:1-9. 3. Malhotra HS, Jain KK, Agarwal A, et al. Characterization of tumefactive demyelinating lesions using MR imaging and in-vivo proton MR spectroscopy. Multiple Sclerosis 2009;15:193-203. 4. Masdeu JC, Quinto C, Olivera C, Tenner M, Leslie D, Visintainer P. Open-ring imaging sign: highly specific for atypical brain demyelination. Neurology 2000;54:1427-1433. 5. Newman NJ, Selzer KA, Bell RA. Association of multiple sclerosis and intracranial hypertension. J Neuro- Ophthalmol. 1994;14:189-192. |
| Language |
eng |
| Format |
application/pdf |
| Type |
Text |
| Source |
43rd Annual Frank Walsh Society Meeting |
| Relation is Part of |
NANOS Annual Meeting 2011 |
| 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 2011. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
| ARK |
ark:/87278/s67w6g2m |
| Setname |
ehsl_novel_fbw |
| ID |
179032 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s67w6g2m |
