A Tough NUT to Crack: A 47-Year-Old With Diplopia From a Rare Malignancy

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Title A Tough NUT to Crack: A 47-Year-Old With Diplopia From a Rare Malignancy
Creator Lauren Maloley; Jason Helvey; Julia Bridge; Dominick DiMaio; Deepta Ghate; Sachin Kedar
Affiliation Stanley M. Truhlsen Eye Institute (LM, DG, SK), University of Nebraska Medical Center, Omaha, Nebraska; Departments of Radiology (JH), Pathology and Microbiology (JB, DD), and Neurological Sciences (SK), University of Nebraska Medical Center, Omaha, Nebraska
Abstract A 47-year-old previously healthy woman was transferred to our facility when she developed asymmetric bilateral sixth nerve palsies during treatment of intractable sinusitis. Her symptoms had started 2 weeks previously with headache and sinus congestion for which she received amoxicillin-clavulanic acid and prednisone. A few days later, she saw an otolaryngologist for worsening symptoms. She had bloody material on nasal endoscopy and was prescribed clindamycin and dexamethasone.
Subject Biopsy; Diagnosis, Differential; Diplopia / etiology; Diplopia / physiopathology; Fatal Outcome; Female; Head and Neck Neoplasms / complications; Head and Neck Neoplasms / diagnosis; Head and Neck Neoplasms / metabolism; Humans; Magnetic Resonance Imaging; Middle Aged; Neoplasm Proteins / metabolism; Nuclear Proteins / metabolism; Positron-Emission Tomography; Rare Diseases; Tomography, X-Ray Computed; Vision, Binocular / physiology
OCR Text Show
Date 2019-09
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Source Journal of Neuro-Ophthalmology, March 2019, Volume 39, Issue 1
Collection Neuro-Ophthalmology Virtual Education Library - Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s61p3qmm
Setname ehsl_novel_jno
ID 1595773
Reference URL https://collections.lib.utah.edu/ark:/87278/s61p3qmm
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