Identifier |
walsh_2019_s3_c5-abstract |
Title |
Just the Two of Us |
Creator |
Dan Milea, MD, PhD |
Subject |
Tumor; Optic Neuropathy; Metastatic Carcinoma; Optic Nerve; Compressive Optic Neuropathy |
Description |
A 63-year-old female patient of Chinese ethnicity was referred for unexplained visual loss in her right eye, discovered incidentally 1 month before presentation. Her past medical history revealed quiescent asthma and a benign cyst in the left lung, excised 27 years earlier. The patient had no vascular risk factors and was not smoking. On examination, best-corrected vision was counting fingers in the right eye and 6/7.5 in the left eye, associated with severe color vision loss in the right eye. There was a dense right relative afferent pupillary defect, but the remainder of the neuro-ophthalmic examination was normal, including fundoscopy, ocular motility and other cranial nerves functions. There was a dense visual field defect in the right eye and a Cirrus OCT disclosed normal retinal nerve fiber layer thickness in both eyes. The presumptive diagnosis was unexplained right retrobulbar optic neuropathy. A brain MRI disclosed an enhancing ; mass involving the anterior right clivus and apex, infiltrating the ipsilateral cavernous sinus, highly suggestive of meningioma. Excision of the tumor was decided by the neurosurgical team, and pathology confirmed a WHO Grade III parapapillary chordoid meningioma. Postoperatively, the patient had an ispilateral iatrogenic pupil-involving 3rd nerve palsy, an ipsilateral 4th nerve palsy and developed a right soleal vein thrombosis, treated symptomatically. However, the patient's main post-operative complaint was persistent coughing. |
Date |
2019-03 |
Language |
eng |
Format |
application/pdf |
Source |
2019 North American Neuro-Ophthalmology Society Annual Meeting |
Relation is Part of |
NANOS 2019: Frank B. Walsh Session 3 |
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 2019. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
ARK |
ark:/87278/s674182n |
Contributor Primary |
Dan Milea, MD, PhD |
Setname |
ehsl_novel_fbw |
ID |
1431974 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s674182n |