Triple Take - Video

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Identifier walsh_2018_s2_c6
Title Triple Take - Video
Creator Johanna Beebe, Liang Cheng, Shira Simon, Michael Wall, Randy Kardon, Alkapalan Deema, Ian Han, Matthew Thurtell
Subject autoimmune reinopathy, Optic Neuropathy, Paraneoplastic, Special staining, Electroretinogram
Presenting Symptom A 42 year-old male noticed difficulty reading labels while stocking shelves at work. Over the next three weeks, he developed a dark "cloud" in his central vision in the left eye, and then the right eye. He did not have associated pain. When evaluated by the retina service, his visual acuities were 20/100 OD and 20/1250 OS without a relative afferent pupillary defect. Goldmann perimetry showed central scotomas OU. His anterior segment was unremarkable. Dilated fundus examination showed subtle telangiectatic vessels on the optic nerve head and in the macula OU. Optical coherence tomography (OCT) showed diffuse inner retinal thinning with focal irregularities in the outer plexiform layer in the macula OU, as well as ganglion cell layer thinning OU. He was evaluated; in neuro-ophthalmology for possible Leber's hereditary optic neuropathy. Repeat visual field, dilated fundus examination, and OCT findings were unchanged from previously. MRI brain and orbits with and without contrast showed subtle bilateral optic nerve enhancement. He was thought to have bilateral optic neuritis. He was admitted for further work-up and management. CSF evaluation showed a minimally elevated protein concentration of 48 mg/dL, with normal constituents otherwise. CSF cytology was negative. NMO antibodies were not detected and a paraneoplastic panel was negative. Further diagnostic testing was performed.
Date 2018-03
Language eng
Format video/mp4
Source 2018 North American Neuro-Ophthalmology Society Annual Meeting
Relation is Part of NANOS Annual Meeting 2018: Frank B. Walsh Session 2
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Holding Institution North American Neuro-Ophthalmology Association. NANOS Executive Office 5841 Cedar Lake Road, Suite 204, Minneapolis, MN 55416
Rights Management Copyright 2018. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6pw0nz3
Contributor Primary Johanna Beebe, MD
Setname ehsl_novel_fbw
ID 1320237
Reference URL https://collections.lib.utah.edu/ark:/87278/s6pw0nz3
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